Gainesville Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GAINESVILLE PHARMACY LLC

Practice address

7963 Heritage Village Plaza
Gainesville, VA 20155

Phone

(703) 909-8495

Fax

(703) 425-2052

NPI assigned

May 11, 2012

Last updated

May 11, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Fereshteh EjtemaiNPI 1134439680

Title

Pharmacist-in-Charge

Phone

(703) 909-8495

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Fereshteh Ejtemai, PHARMACIST

  • Pharmacist
  • Fairfax Station, VA
  • NPI 1134439680
  Authorized official Same address or phone
• Davinder Pal Singh Kahlon, PHARM D

  • Pharmacist
  • Gainesville, VA
  • NPI 1134717788
  NPD (past)

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336694400000",
    "number": "1871852848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7963 HERITAGE PLAZA",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "20155",
            "telephone_number": "703-909-8495",
            "fax_number": "703-425-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7963 HERITAGE VILLAGE PLAZA",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "20155",
            "telephone_number": "703-909-8495",
            "fax_number": "703-425-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-05-11",
        "status": "A",
        "authorized_official_last_name": "EJTEMAI",
        "authorized_official_first_name": "FERESHTEH",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "703-909-8495",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gainesville Orthodontic Associates
• Gainesville Physical Therapy Incorporated
• Gainesville Professional Counseling Center
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• Michael N Gaitonde, DC

• Community/Retail Pharmacy in Gainesville, VA
• Providers in Gainesville, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.