Leonard L Edloe Corp

Primary specialty

PharmacyTaxonomy code 333600000X

License

0201000345 Issued in VA

Legal business name

LEONARD L EDLOE CORP

Practice address

1124 N 25TH St
Richmond, VA 23223-5256

Phone

(804) 643-5721

Fax

(804) 644-5301

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Leonard L Edloe, PHARMDNPI 1205832672

Title

President

Phone

(804) 643-5721

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• EDLOES PROFESSIONAL PHARMACY Former legal business name

Locations

Practitioners 1

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

• Leonard Levi Edloe, PHARM.D.

  • Pharmacist
  • Richmond, VA
  • NPI 1205832672
  NPD (past) Authorized official

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1962417568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 N 25TH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232235256",
            "telephone_number": "804-643-5721",
            "fax_number": "804-644-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 N 25TH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232235256",
            "telephone_number": "804-643-5721",
            "fax_number": "804-644-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD L EDLOE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "EDLOE",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-643-5721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0201000345",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4804363",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8504750",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EDLOES PROFESSIONAL PHARMACY",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ann C Lentz, FNP
• Brian K Lentz, MD
• Maria Laura Leon Cantos
• Leon J. Brown, Jr., M.D., P.C.
• Daisy Elana Leon, OTR/L
• Andrianna Leonard
• Audrey Jean Leonard
• Baily Leonard
• Dean Michael Leonard, MD
• Fritz Leonard

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.