Opitiz Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

0201004677 Issued in VA

Legal business name

OPITIZ INC

Practice address

2068 Daniel Stuart SQ
Woodbridge, VA 22191-3315

Phone

(703) 490-1600

Fax

(703) 490-6300

NPI assigned

Aug 25, 2015

Organization subpart

No

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

Authorized official

Name

Umamaheswara Donepudi

Title

President

Phone

(703) 490-1600

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Regal Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1629445796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2068 DANIEL STUART SQ",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913315",
            "telephone_number": "703-490-1600",
            "fax_number": "703-490-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2068 DANIEL STUART SQ",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913315",
            "telephone_number": "703-490-1600",
            "fax_number": "703-490-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPITIZ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "DONEPUDI",
        "authorized_official_first_name": "UMAMAHESWARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-490-1600"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0201004677",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154129",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regal Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.