Organization Active NPI

Pharmasutra PLLC

Doing business as Gainesville Pharmacy

  • Community/Retail Pharmacy
  • Gainesville, VA
National Provider Identifier
1700300506
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201004481 Issued in VA
Legal business name
PHARMASUTRA PLLC
Doing business as
Gainesville Pharmacy
Practice address
7963 Heritage Village PLZ
Gainesville, VA 20155-3077
Phone
(703) 743-5603
NPI assigned
Aug 2, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Davinder Pal Kahlon, PHARM D
Title
Pharmacist/Owner
Phone
(703) 743-5603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 0201004481 VA Primary

Addresses

Primary practice location

7963 Heritage Village PLZ
Gainesville, VA 20155-3077

Mailing address

7963 Heritage Village PLZ
Gainesville, VA 20155-3077
Phone (703) 743-5603

Other identifiers 1

IdentifierTypeStateIssuer
1700300506MedicaidVA

Other names 1

  • Gainesville Pharmacy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Gainesvillerx.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191127000076 VA Part B Supplier - Mass Immunization (Roster Biller Only) 8022441328 Practice locations: Gainesville, VA

National Provider Directory

National Provider Directory

Locations

7963 Heritage Village Plz
Gainesville, VA 20155
Phone (703) 743-5603

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": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1700300506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7963 HERITAGE VILLAGE PLZ",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553077",
            "telephone_number": "703-743-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7963 HERITAGE VILLAGE PLZ",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553077",
            "telephone_number": "703-743-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMASUTRA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KAHLON",
        "authorized_official_first_name": "DAVINDER",
        "authorized_official_middle_name": "PAL",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "703-743-5603",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700300506",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Gainesvillerx.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7963 Heritage Village Plz",
            "city": "Gainesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201553077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Gainesville Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.