Organization Active NPI

Strasburg Pharmacy LLC

  • Community/Retail Pharmacy
  • Strasburg, VA
National Provider Identifier
1609302744
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201004772 Issued in VA
Legal business name
STRASBURG PHARMACY LLC
Practice address
33820 Old Valley Pike Ste 7
Strasburg, VA 22657-3793
Phone
(540) 465-5001
NPI assigned
May 10, 2017
Last updated
Feb 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Naresh Kumar BoiniNPI 1346403292
Title
Pharmacist
Phone
(540) 465-5001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 0201004772 VA Primary

Addresses

Primary practice location

33820 Old Valley Pike Ste 7
Strasburg, VA 22657-3793

Mailing address

33820 Old Valley Pike Ste 7
Strasburg, VA 22657-3793
Phone (540) 465-5001

Other identifiers 1

IdentifierTypeStateIssuer
0201004772MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171030001064 VA Part B Supplier - Mass Immunization (Roster Biller Only) 8729354147 Practice locations: Strasburg, VA

National Provider Directory

National Provider Directory

Locations

33820 Old Valley Pike
Ste 7
Strasburg, VA 22657
Phone (540) 465-5001

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1609302744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33820 OLD VALLEY PIKE STE 7",
            "city": "STRASBURG",
            "state": "VA",
            "postal_code": "226573793",
            "telephone_number": "540-465-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33820 OLD VALLEY PIKE STE 7",
            "city": "STRASBURG",
            "state": "VA",
            "postal_code": "226573793",
            "telephone_number": "540-465-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRASBURG PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-10",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "BOINI",
        "authorized_official_first_name": "NARESH KUMAR",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "540-465-5001"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0201004772",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Strasburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.