Organization Active NPI

Leela Life Sciences LLC

  • Community/Retail Pharmacy
  • Butner, NC
National Provider Identifier
1699355057
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LEELA LIFE SCIENCES LLC
Practice address
309 Central Ave
Butner, NC 27509-2315
Phone
(919) 575-6571
NPI assigned
Apr 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Authorized official

Name
Hiren Chandubhai Patel
Title
Pharmacy Manager
Phone
(919) 575-6571

Specialties & licenses 1

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

Addresses

Primary practice location

309 Central Ave
Butner, NC 27509-2315

Mailing address

309 Central Ave
Butner, NC 27509-2315
Phone (919) 575-6571

Other names 1

  • Quality Drugs Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210720002654 NC Part B Supplier - Mass Immunization (Roster Biller Only) 1759784374 Practice locations: Butner, NC

National Provider Directory

National Provider Directory

Locations

309 Central Ave
Butner, NC 27509
Phone (919) 259-4702

NPI Registry JSON

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

{
    "created_epoch": "1618012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1699355057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 CENTRAL AVE",
            "city": "BUTNER",
            "state": "NC",
            "postal_code": "275092315",
            "telephone_number": "919-575-6571",
            "fax_number": "919-575-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 CENTRAL AVE",
            "city": "BUTNER",
            "state": "NC",
            "postal_code": "275092315",
            "telephone_number": "919-575-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEELA LIFE SCIENCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-10",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HIREN",
        "authorized_official_middle_name": "CHANDUBHAI",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "919-575-6571"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Drugs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Quality Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Butner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.