Organization Active NPI

Leonard Muse Trading As Green Valley Pharmacy

  • Pharmacist
  • Arlington, VA
National Provider Identifier
1649229378
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0201000328 Issued in VA
Legal business name
LEONARD MUSE TRADING AS GREEN VALLEY PHARMACY
Practice address
2415 S Shirlington Rd
Arlington, VA 22206-2524
Phone
(703) 979-1441
Fax
(703) 553-4846
NPI assigned
May 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Dr. Leonard Muse, RPH
Title
Owner
Phone
(703) 979-1441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 0201000328 VA Primary

Addresses

Primary practice location

2415 S Shirlington Rd
Arlington, VA 22206-2524

Mailing address

2415 S Shirlington Rd
Arlington, VA 22206-2524
Phone (703) 979-1441

Other identifiers 2

IdentifierTypeStateIssuer
008504997MedicaidVA
4804818OtherVANATIONAL PHARMACY ID

National Provider Directory

National Provider Directory

Locations

2415 S Shirlington Rd
Arlington, VA 22206
Phone (703) 979-1441

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1649229378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 S SHIRLINGTON RD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222062524",
            "telephone_number": "703-979-1441",
            "fax_number": "703-553-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 S SHIRLINGTON RD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222062524",
            "telephone_number": "703-979-1441",
            "fax_number": "703-553-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD MUSE TRADING AS GREEN VALLEY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "MUSE",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-979-1441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0201000328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008504997",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PHARMACY ID",
            "identifier": "4804818",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.