OrganizationActive
Monument-Fairfax, LLC
NPI 1114475118 · Long Term Care Pharmacy · Fairfax, VA
Provider details
- NPI number
- 1114475118
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Patrick Downing, Coo(508) 654-6577
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11230 Waples Mill Rd Ste 115
Fairfax, VA 22030-5026
Phone: (703) 899-5947
Fax: (703) 272-7497
Street-level locationGet directions
Mailing address
11230 Waples Mill Rd Ste 115
Fairfax, VA 22030-5026
Other names (DBA / former)
- Doing business as
- Revolution Meds Pharmacy
- Doing business as
- Revolution Meds Pharmacy, Inc
- Doing business as
- Revolution Meds Pharmacy, Inc
Registry dates
- Enumerated
- 2016-09-19
- Last updated
- 2023-10-10
- Certified
- 2023-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.