Active NPI
Pharmasutra PLLC
Doing business as Gainesville Pharmacy
- Community/Retail Pharmacy
- Gainesville, VA
National Provider Identifier
1700300506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 0201004481
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700300506 | Medicaid | VA |
Other names 1
- Gainesville Pharmacy
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191127000076 | VA | Part B Supplier - Mass Immunization (Roster Biller Only) | 8022441328 | Practice locations: Gainesville, VA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Gainesville, VA
- NPI 1134717788
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
- Shabaan Pervaiz, DDS
- Zan Pervaiz, DDS
- Peter T Pham OD, PLLC (Dr. Peter T Pham & Associates)
- Peter Tien Dzung Pham, O.D.
- VI Phan
- David Randell Phelps, APRN
- Phoenix Counselinggroup and Play Therapycenter, PLLC
- Phoenix Family Counseling & Play Therapy Center, PLLC
- Faline Phucas Davenport
- Michael R Pichardo, DDS
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.