Organization Active NPI

Leesburg Regional Medical Center Inc

Doing business as UFHLH Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Leesburg, FL
National Provider Identifier
1780741983
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LEESBURG REGIONAL MEDICAL CENTER INC
Doing business as
UFHLH Outpatient Pharmacy
Practice address
600 E Dixie Ave
Outpatient Pharmacy Room 1046
Leesburg, FL 34748-5925
Phone
(352) 323-5384
Fax
(352) 315-3679
NPI assigned
Jan 3, 2007
Last updated
Aug 15, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
LEESBURG REGIONAL MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Heather B. Long
Title
Ceo
Phone
(352) 323-5001

Specialties & licenses 1

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

Addresses

Primary practice location

600 E Dixie Ave
Outpatient Pharmacy Room 1046
Leesburg, FL 34748-5925

Mailing address

600 E. Dixie Avenue
Attn: Reimbursement Dept.
Leesburg, FL 34748-5994
Phone (352) 323-5380

Other names 1

  • UFHLH Outpatient Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250205003492 FL Part B Supplier - Pharmacy 1254228448 Practice locations: Leesburg, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
LRMC Day Surgery Center6 organizations share this tax ID, including this one
Part of
LRMC Day Surgery Center

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4405 S US Highway 27
Clermont, FL 34711
Phone (352) 243-3367

8969 NE 134TH Ave
Lady Lake, FL 32159
Phone (352) 330-0664

600 E Dixie Ave
Rm 1046
Leesburg, FL 34748
Phone (352) 323-5384

600 E Dixie Ave
Ste 804
Leesburg, FL 34748
Phone (352) 323-3270

8112 Centralia Ct
Ste 101
Leesburg, FL 34788
Phone (305) 298-9873

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

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": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1780741983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E. DIXIE AVENUE",
            "address_2": "ATTN: REIMBURSEMENT DEPT.",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485994",
            "telephone_number": "352-323-5380",
            "fax_number": "352-315-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E DIXIE AVE",
            "address_2": "OUTPATIENT PHARMACY ROOM 1046",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485925",
            "telephone_number": "352-323-5384",
            "fax_number": "352-315-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEESBURG REGIONAL MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEESBURG REGIONAL MEDICAL CENTER INC",
        "enumeration_date": "2007-01-03",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-323-5001"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UFHLH Outpatient Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.