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

Nichole Yvonne Henderson

Individual provider Pharmacist · NPI 1487256129

Nichole Yvonne Henderson is a Pharmacist in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2020.

Licensed in
VA
In the registry since
2020

Practice location Address checks out

13059 Fair Lakes Pkwy
Fairfax, VA 22033
Phone: (703) 631-4007
Fax: (703) 631-4758
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 0202012188 (VA)

Record details

NPI number1487256129
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 9, 2020
Last updated in NPPESNovember 9, 2020
Certification dateNovember 6, 2020

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