Loudoun Community Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LOUDOUN COMMUNITY PHARMACY LLC

Doing business as

Loudoun Community Pharmacy

Practice address

19415 Deerfield Ave
Lansdowne, VA 20176-8452

Phone

(571) 499-4303

NPI assigned

Feb 7, 2020

Last updated

Sep 3, 2020By 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

Khalid Haris

Title

Member Manager

Phone

(571) 499-4303

Specialties & licenses 1

Addresses

Other names 1

• Loudoun Community Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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.

• Kiran Dharmala

  • Pharmacist
  • Culpeper, VA
  • NPI 1720377104
  NPD

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1568094456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14537 RAVENSCAR CT",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212532",
            "telephone_number": "571-499-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19415 DEERFIELD AVE",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768452",
            "telephone_number": "571-499-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUDOUN COMMUNITY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "HARIS",
        "authorized_official_first_name": "KHALID",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "571-499-4303"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loudoun Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Loudoun Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Lansdowne, VA
• Providers in Lansdowne, 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 Sep 3, 2020; 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.