KC PHARMACY
NPI 1093081028
Pharmacy - Community/Retail Pharmacy in Lorton, VA

Active since March 23, 2012CLIA 49D2184167 · Waiver
8988 LORTON STATION BLVD, SUITE 102, LORTON, VA 22079(703) 339-9599(703) 339-7111 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kc Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KC PHARMACY (NPI 1093081028) is a healthcare organization registered as a community/retail pharmacy in Lorton, Virginia and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through May 14, 2028 and lists Gihan Seraka, Manager, as its authorized official.

NPPES Registry Identity

NPI1093081028
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKC PHARMACY HEALTHMART INC
Location Address8988 LORTON STATION BLVD, SUITE 102Lorton, VA 22079-4756
Mailing Address8988 Lorton Station BlvdLorton, VA 22079-4756 · (703) 339-9599 · Fax (703) 339-7111
Fax(703) 339-7111
Organization SubpartNo
Authorized OfficialGihan SerakaManager · (703) 339-9599
Enumeration DateMarch 23, 2012
Last NPPES UpdateAugust 6, 2020
NPPES CertifiedAugust 6, 2020
NPI 1093081028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in VA · 0201004087
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
8988 LORTON STATION BLVD, Lorton, VA 22079

Other Names 1

Doing Business AsKc Pharmacy

Other Identifiers 2

Medicaid1093081028VA
Other2134252Pk

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2184167

Kc Pharmacy Health Mart, Inc · Lorton, VA
Active · expires May 14, 2028
CLIA Number49D2184167
Laboratory TypePharmacy
Certificate Effective DateMay 15, 2026
Certificate Expiration DateMay 14, 2028
Laboratory DirectorGihan Seraka
Laboratory Phone(703) 339-9599
Laboratory LocationKc Pharmacy Health Mart, Inc8988 Lorton Station Blvd, Lorton, VA 22079
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 15

Medicare supplier enrollment and the product categories Kc Pharmacy carries, from the Medicare DMEPOS supplier directory.

Kc Pharmacy

DMEPOS supplier · Lorton, VAOperated by Kc Pharmacy Healthmart Inc

Does not accept Medicare assignment

Kc Pharmacy has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20504921
Medicare Participant SinceJune 25, 2014
Supplier Location8988 Lorton Station Blvd Ste 102Lorton, VA 22079
Supplier Specialties
Certified Other Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Infectious Disease)
8988 LORTON STATION BLVD, #204
LORTON, VA 22079
Family Medicine
8988 LORTON STATION BLVD, SUITE 201
LORTON, VA 22079
Family Medicine
8988 LORTON STATION BLVD, SUITE 201
LORTON, VA 22079
Family Medicine
8988 LORTON STATION BLVD, SUITE 201
LORTON, VA 22079
Specialist
8988 LORTON STATION BLVD, #204
LORTON, VA 22079
Family Medicine
8988 LORTON STATION BLVD
LORTON, VA 22079
Surgery
8988 LORTON STATION BLVD, STE 103
LORTON, VA 22079
Internal Medicine (Infectious Disease)
8988 LORTON STATION BLVD, SUITE #204
LORTON, VA 22079

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kc Pharmacy Healthmart Inc's NPI number?

The NPI number for Kc Pharmacy Healthmart Inc is 1093081028. It was assigned to this organization in the NPPES registry on March 23, 2012. The provider is doing business as Kc Pharmacy.

Where is Kc Pharmacy Healthmart Inc located?

Kc Pharmacy Healthmart Inc is located at 8988 Lorton Station Blvd Suite 102, Lorton, VA 22079. The listed phone number is (703) 339-9599.

What is Kc Pharmacy Healthmart Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Kc Pharmacy Healthmart Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Kc Pharmacy does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Kc Pharmacy Healthmart Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2184167) is associated with this NPI, valid through May 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kc Pharmacy Healthmart Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Kc Pharmacy Healthmart Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kc Pharmacy Healthmart Inc was last updated on August 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.