Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Susan Tavakoli

Individual provider Pharmacist · NPI 1134760564

Susan Tavakoli is a Pharmacist in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2019.

Licensed in
VA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

3046 Mission Square Dr
Fairfax, VA 22031-1113
Phone: (757) 334-4514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Pharmacist Taxonomy 183500000X · Licence 0202216060 (VA)

Record details

NPI number1134760564
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 7, 2019
Last updated in NPPESOctober 7, 2019

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