Prosperity Rx Arlington
NPI 1104362227ActiveOrganization· Pharmacy· Arlington, VA
Pharmacy in Arlington, Virginia, registered in NPPES in January 2017. The authorized official on file is Victoria Carrasco, Pharmacy Manager. Medicare paid $4,192 for services to 16 patients in 2024.
Overview
| NPI | 1104362227 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 12, 2017 |
| Last updated in NPPES | Mar 27, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 0201002360 | VA |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
| Pharmacy, Compounding Pharmacy | 3336C0004X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 16 |
|---|---|
| Services billed | 49 across 8 procedure codes |
| Paid by Medicare | $4,192 |
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