Organization
PROSPERITY PHARMACY MED CENTER INC
Active
Other names
Hann's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALFONSO GAITAN (CONTROLLER)
(703) 334-5180
Entity
Organization
Contact information
Practice address
8505 ARLINGTON BLVD STE 110, FAIRFAX, VA 22031-4636
(703) 495-3350
(703) 620-3020
Mailing address
8505 ARLINGTON BLVD STE 110, FAIRFAX, VA 22031-4636
(703) 495-3350
(703) 620-3020
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201004836
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177251
PK
—
Enumeration date
04/27/2018
Last updated
09/19/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us