Active NPI
Ilia Pidroutchniak, RPH
- Pharmacist
- Harrisonburg, VA
National Provider Identifier
1770170755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202218068
- Practice address
- 1380 Little Sorrell Dr
Harrisonburg, VA 22801-7372 - Phone
- (540) 214-5035
- NPI assigned
- Dec 24, 2020
- Last updated
- Dec 24, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202218068 | VA | Primary |
Addresses
Primary practice location
1380 Little Sorrell Dr
Harrisonburg, VA 22801-7372
Mailing address
4004 Buck Run CT
Rockingham, VA 22802-1172
Phone (434) 299-2244
Other practice location 1
1235 W Broad St
Waynesboro, VA 22980-4326
Phone (540) 943-1246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202218068 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Virginia CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608768000000",
"number": "1770170755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4004 BUCK RUN CT",
"city": "ROCKINGHAM",
"state": "VA",
"postal_code": "228021172",
"telephone_number": "434-299-2244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 LITTLE SORRELL DR",
"city": "HARRISONBURG",
"state": "VA",
"postal_code": "228017372",
"telephone_number": "540-214-5035"
}
],
"practiceLocations": [
{
"address_1": "1235 W Broad St",
"address_purpose": "LOCATION",
"city": "Waynesboro",
"state": "VA",
"postal_code": "229804326",
"country_code": "US",
"telephone_number": "540-943-1246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIDROUTCHNIAK",
"first_name": "ILIA",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-24",
"last_updated": "2020-12-24",
"certification_date": "2020-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202218068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrisonburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.