Organization Active NPI

Sears Holdings Company

  • Exclusive Provider Organization
  • Lynchburg, VA
National Provider Identifier
1063877041
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
0202206233 Issued in VA
Legal business name
SEARS HOLDINGS COMPANY
Practice address
2315 Wards Rd
Lynchburg, VA 24502-2101
Phone
(434) 239-0387
Fax
(847) 396-2803
NPI assigned
Dec 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Authorized official

Name
Daniel Lineberry II, PHARMD
Title
Pharmacist
Phone
(434) 239-0387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 0202206233 VA Primary

Addresses

Primary practice location

2315 Wards Rd
Lynchburg, VA 24502-2101

Mailing address

2315 Wards Rd
Lynchburg, VA 24502-2101
Phone (434) 239-0387

National Provider Directory

National Provider Directory

Locations

2315 Wards Rd
Lynchburg, VA 24502
Phone (434) 239-0387

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1063877041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 WARDS RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022101",
            "telephone_number": "434-239-0387",
            "fax_number": "847-396-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 WARDS RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022101",
            "telephone_number": "434-239-0387",
            "fax_number": "847-396-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEARS HOLDINGS COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "LINEBERRY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "434-239-0387",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "VA",
            "license": "0202206233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.