Purcellville Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

0201004721 Issued in VA

Legal business name

PURCELLVILLE PHARMACY

Practice address

609 E Main St Ste Q
Purcellville, VA 20132-3182

Phone

(540) 751-9750

Fax

(540) 441-7099

NPI assigned

May 9, 2016

Organization subpart

No

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

Authorized official

Name

Syam Bandi

Title

Owner

Phone

(815) 342-7535

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Purcellville Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kiran Dharmala

  • Pharmacist
  • Culpeper, VA
  • NPI 1720377104
  NPD

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1770939779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 E MAIN ST STE Q",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201323182",
            "telephone_number": "540-751-9750",
            "fax_number": "540-441-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 E MAIN ST STE Q",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201323182",
            "telephone_number": "540-751-9750",
            "fax_number": "540-441-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURCELLVILLE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "BANDI",
        "authorized_official_first_name": "SYAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-342-7535"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0201004721",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770939779",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2162073",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Purcellville Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Progressive Physical Therapy and Rehabilitation
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• Purcellville Orthopedic Physical Therapy, LLC
• Purcellville Pediatric Dentistry
• Purcellville Sleep Center LLC
• Purcellville Speech Therapy
• Honorine Quenum, PHARMD
• Candice Quinn
• Emilie Quinn, DC

• Pharmacy in Purcellville, VA
• Providers in Purcellville, VA by specialty
• Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.