Leesburg Regional Medical Center Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LEESBURG REGIONAL MEDICAL CENTER INC

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

Organization subpart

Yes

Parent organization

LEESBURG REGIONAL MEDICAL CENTER INCAs reported in NPPES

Name

Heather B. Long

Title

Ceo

Phone

(352) 323-5001

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

• Leesburg Regional Medical Center Inc

  • General Acute Care Hospital
  • Leesburg, FL
  • NPI 1245226190
  Same PAC ID 1254228448

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

• Leesburg Regional Medical Center

  • Clinic/Center
  • Leesburg, FL
  • NPI 1821408840
  NPD tax ID
• Leesburg Regional Medical Center D/B/a LRMC Nursing Center

  • Skilled Nursing Facility
  • Leesburg, FL
  • NPI 1093705394
  NPD tax ID
• Leesburg Regional Medical Center Inc

  • Urgent Care Clinic/Center
  • Leesburg, FL
  • NPI 1245001189
  NPD tax ID
• Leesburg Regional Medical Center Inc.

  • Clinic/Center
  • Leesburg, FL
  • NPI 1235553082
  NPD tax ID
• Leesburg Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Leesburg, FL
  • NPI 1487144523
  NPD tax ID

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

• Christine Reames, CPHT

  • Pharmacy Technician
  • Leesburg, FL
  • NPI 1902226459
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in FL

Tax ID family

LRMC Urgent Care Center (6 organizations share this tax ID)

Part of

LRMC Urgent Care Center

Locations

Networks

• 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)
• 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 Maximo (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)…

• UFHLH Outpatient Pharmacy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 15, 2024.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "10-29594",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UFHLH Outpatient Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leesburg Psychology
• Leesburg Regional Medical Center
• Leesburg Regional Medical Center D/B/a LRMC Nursing Center
• Leesburg Regional Medical Center Inc
• Leesburg Regional Medical Center Inc
• Leesburg Regional Medical Center Inc
• Leesburg Regional Medical Center Inc.
• Leesburg Regional Medical Center Physician Services LLC
• Leesburg Regional Medical Center, Inc.
• Leesburg Regional Medical Center, Inc.

• All providers in Leesburg, FL
• Community/Retail Pharmacy in Florida

• 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.