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REVOLUTION MEDS PHARMACY, INC
NPI 1114475118
Pharmacy - Long Term Care Pharmacy in Fairfax, VA

Active since September 19, 2016
11230 WAPLES MILL RD STE 115, FAIRFAX, VA 22030(703) 899-5947(703) 272-7497 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2023, Oct 18, 2022, Feb 20, 2017 and 3 more (6 updates tracked since 2016).

About Revolution Meds Pharmacy, Inc NPPES

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

REVOLUTION MEDS PHARMACY, INC (NPI 1114475118) is a healthcare organization registered as a long term care pharmacy in Fairfax, Virginia and active in the NPI registry since September 2016. The organization lists Patrick F Downing, Coo, as its authorized official.

NPPES Registry Identity

NPI1114475118
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameMONUMENT-FAIRFAX, LLC
Location Address11230 WAPLES MILL RD STE 115Fairfax, VA 22030-5026
Mailing Address11230 Waples Mill Rd Ste 115Fairfax, VA 22030-5026 · (703) 899-5947
Phone(703) 899-5947
Fax(703) 272-7497
Organization SubpartNo
Authorized OfficialPatrick F DowningCoo · (508) 654-6577
Enumeration DateSeptember 19, 2016
Last NPPES UpdateOctober 10, 20236 updates tracked since enumeration
NPPES CertifiedOctober 10, 2023
✔ NPI 1114475118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedPharmacyTaxonomy 333600000X
11230 WAPLES MILL RD STE 115, Fairfax, VA 22030
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Other Names 1

Doing Business AsRevolution Meds Pharmacy, Inc

Other Identifiers 1

Other2164585Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 3

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

PARKVIEW NORTH VIRGINIA RX, LLC
Pharmacy (Long Term Care Pharmacy)
11230 WAPLES MILL RD STE 115
FAIRFAX, VA 22030
Fairfax City (703) 272-7040
MONUMENT-FAIRFAX, LLC
Pharmacy (Long Term Care Pharmacy)
11230 WAPLES MILL RD STE 115
FAIRFAX, VA 22030
Fairfax City (703) 272-7040
MIRA YOUNAN SHENOUDY SHENOUDA
Pharmacist
11230 WAPLES MILL RD STE 115
FAIRFAX, VA 22030
Fairfax City (703) 272-7040

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 Monument-Fairfax, LLC's NPI number?

The NPI number for Monument-Fairfax, LLC is 1114475118. It was assigned to this organization in the NPPES registry on September 19, 2016. The provider is doing business as Revolution Meds Pharmacy, Inc.

Where is Monument-Fairfax, LLC located?

Monument-Fairfax, LLC is located at 11230 Waples Mill Rd Ste 115, Fairfax, VA 22030. The listed phone number is (703) 899-5947.

What is Monument-Fairfax, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Monument-Fairfax, LLC accept?

Health plans from Medica and Moda Health Plan, Inc. list Monument-Fairfax, LLC 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 Monument-Fairfax, LLC was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.