OrganizationActive
Monument-Fairfax, LLC
NPI 1700401452 · Long Term Care Pharmacy · Fairfax, VA
Provider details
- NPI number
- 1700401452
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Patrick Downing, Coo(410) 276-7586
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Practice location
11230 Waples Mill Rd Ste 115
Fairfax, VA 22030-5026
Phone: (703) 272-7040
Fax: (703) 272-7497
Approximate (ZIP-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
- Former legal business name
- Revolution Meds Pharmacy, Inc.
Registry dates
- Enumerated
- 2020-06-09
- 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.