Organization Active NPI

Medplus Pharmacy LLC

  • Community/Retail Pharmacy
  • Alexandria, VA
National Provider Identifier
1376958165
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MEDPLUS PHARMACY LLC
Practice address
5130 Duke St Ste 2
Alexandria, VA 22304-2955
Phone
(571) 490-1559
NPI assigned
Jul 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Authorized official

Name
Dr. Youssef Sakr, PHARMD
Title
Pharmacist in Charge
Phone
(703) 751-1111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

5130 Duke St Ste 2
Alexandria, VA 22304-2955

Mailing address

5130 Duke St Ste 2
Alexandria, VA 22304-2955
Phone (703) 751-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160204000071 DC Part B Supplier - Pharmacy 5496063307 Practice locations: Alexandria, VA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1376958165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 DUKE ST STE 2",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042955",
            "telephone_number": "703-751-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 DUKE ST STE 2",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042955",
            "telephone_number": "571-490-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPLUS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-01",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "SAKR",
        "authorized_official_first_name": "YOUSSEF",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "703-751-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.