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
Mailing address3046 Mission Square Dr, Fairfax, VA 22031-1113

Other providers in Fairfax