NPIMap

Organization Active NPI

Leesburg Pharmacy Inc

Doing business as The Plains Pharmacy

  • Community/Retail Pharmacy
  • The Plains, VA
National Provider Identifier
1770682601
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201000662 Issued in VA
Legal business name
LEESBURG PHARMACY INC
Doing business as
The Plains Pharmacy
Practice address
6485 Main Street
The Plains, VA 20198
Phone
(540) 253-5275
Fax
(540) 253-5038
NPI assigned
Sep 21, 2006
Last updated
Nov 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Authorized official

Name
Jay Gil
Title
Pharmacist
Phone
(703) 777-5333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 0201000662 VA Primary

Addresses

Primary practice location

6485 Main Street
The Plains, VA 20198

Mailing address

PO Box 250
The Plains, VA 20198-0250

Other identifiers 2

IdentifierTypeStateIssuer
8511012MedicaidVA
4802193OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • THE PLAINS PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1770682601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "THE PLAINS",
            "state": "VA",
            "postal_code": "201980250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6485 MAIN STREET",
            "city": "THE PLAINS",
            "state": "VA",
            "postal_code": "20198",
            "telephone_number": "540-253-5275",
            "fax_number": "540-253-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEESBURG PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "GIL",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "703-777-5333"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201000662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8511012",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4802193",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE PLAINS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in The Plains, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.