Loudoun Family Pharmacy Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201004412 Issued in VA

Legal business name

LOUDOUN FAMILY PHARMACY CORPORATION

Doing business as

Loudoun Family Pharmacy

Practice address

19415 Deerfield Ave Ste 116
Leesburg, VA 20176-8470

Phone

(703) 327-4284

Fax

(571) 291-2897

NPI assigned

Jul 19, 2011

Last updated

Jan 17, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anand Shah

Title

Ceo/Director

Phone

(267) 257-3364

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Loudoun Family Pharmacy Doing business as

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1255629671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19415 DEERFIELD AVE STE 116",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768470",
            "telephone_number": "571-291-2896",
            "fax_number": "571-291-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19415 DEERFIELD AVE STE 116",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768470",
            "telephone_number": "703-327-4284",
            "fax_number": "571-291-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUDOUN FAMILY PHARMACY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "ANAND",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "267-257-3364"
    },
    "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": "0201004412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255629671",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131153",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loudoun Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Loudoun Hospital Center
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• Community/Retail Pharmacy in Leesburg, VA
• Providers in Leesburg, 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 Jan 17, 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.