Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Wade Lewis McKinnon Jr., PHARMD

Individual provider Pharmacist · NPI 1720363864

Dr. Wade Lewis McKinnon Jr., PHARMD is a Pharmacist in Ashburn, Virginia. Licensed in Florida and Virginia. Registered with an NPI since 2011.

Licensed in
FL, VA
In the registry since
2011
Specialties on file
2
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

42820 Creek View Plz
Ashburn, VA 20147-4036
Phone: (703) 259-6683
Fax: (703) 259-6689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 0202005202 (VA)
Pharmacist Taxonomy 183500000X · Licence PS46607 (FL)

Record details

NPI number1720363864
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedOctober 20, 2011
Last updated in NPPESOctober 20, 2011

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