Landmark Professional Pharmacy,LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201004527 Issued in VA

Legal business name

LANDMARK PROFESSIONAL PHARMACY,LLC

Doing business as

Landmark Professional Pharmacy,LLC

Practice address

5249 Duke St Unit LL
Alexandria, VA 22304-2926

Phone

(703) 212-0200

Fax

(703) 212-0202

NPI assigned

Jun 19, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elias Ambaye, PHARMDNPI 1225475502

Title

Owner/Manager

Phone

(703) 585-3059

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• LANDMARK PROFESSIONAL PHARMACY,LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elias Ambaye, PHARMACIST

  • Pharmacist
  • Alexandria, VA
  • NPI 1225475502
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1013356427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5249 DUKE ST UNIT LL",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042926",
            "telephone_number": "703-212-0200",
            "fax_number": "703-212-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5249 DUKE ST UNIT LL",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042926",
            "telephone_number": "703-212-0200",
            "fax_number": "703-212-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK PROFESSIONAL PHARMACY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "AMBAYE",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "703-585-3059",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140651",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LANDMARK PROFESSIONAL PHARMACY,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Howard M Lando, MD
• Bernadette Rose Landry, LPC
• Felissa Lane
• Mark Lane, PT
• Charlotte V Lang, RBT

• Community/Retail Pharmacy in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.