LEESBURG PHARMACY INC


Address: 36 Catoctin Cir Se, Suite C, Leesburg, VA 20175-3630
Phone: 7037793301

LEESBURG PHARMACY INC (NPI# 1780602862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780602862
Entity Type Organization
Organization Name LEESBURG PHARMACY INC
Other Organization Name THE COMPOUNDING CENTER
Practice Address 36 Catoctin Cir Se
Suite C
Leesburg
VA 20175-3630
Practice Telephone 7037793301
Practice Fax Number 7037775160
Mailing Telephone 7037793301
Mailing Fax Number 7037775160
Enumeration Date 2006-07-17
Last Update Date 2017-02-16
Authorized Official Name CHERYL GARVIN (CEO)
Authorized Official Telephone 7037793313
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
N 333600000X Pharmacy Suppliers
Y 3336C0004X Pharmacy
Specialization: Compounding Pharmacy
0201001953 VA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2122381 01

Other Provider/Organization Names

Other Name Type Code
The Compounding Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1770682601 Leesburg Pharmacy Inc Pharmacy 6485 Main Street, The Plains, VA 20198 2006-09-21

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities Leesburg Pharmacy Inc. 36 C Catoctin Circle Se, Leesburg, Virginia 20175-3612

Office Location

Street Address 36 CATOCTIN CIR SE
SUITE C
City LEESBURG
State VA
Zip Code 20175-3630

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NPI Name Taxonomy Address Enumeration
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1821511122 Barsha Baral Taxi 651 Tammy Ter Se, Leesburg, VA 20175 2017-07-19
1508316282 Stefanie Moreno Social Worker 914 Rhonda Pl Se, Leesburg, VA 20175 2016-10-06
1164819280 Hayley Robertson Behavioral Analyst 801 Childrens Center Road Sw, Leesburg, VA 20175 2015-04-16
1932597317 Christine Sauthoff Carter Speech-Language Pathologist 212 Wingate Pl Sw, Leesburg, VA 20175 2015-01-07
1174946651 Sucess By Therapeutic and Educational Play Services Speech-Language Pathologist 107 Pheasant Pl Sw, Leesburg, VA 20175 2014-02-04
1790115350 Ahmed Salem Behavioral Analyst 801 Childrens Center Road Sw, Leesburg, VA 20175 2013-11-19
1386077337 Kathleen Mary Harter Physical Therapy Assistant 224-d Cornwall Street, Suite 200, Leesburg, VA 20175 2013-08-14
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Taxonomy Information

Taxonomy Code 3336C0004X
Grouping Suppliers
Classification Pharmacy
Specialization Compounding Pharmacy

Taxonomy Definition

A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063814630 Starx Pharmacy Pharmacy 802 E Dixie Ave, Leesburg, FL 34748-6014 2014-09-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1912524141 Tps Lab LLC Pharmacy 4097 Ironbound Rd Ste B, Williamsburg, VA 23188-2676 2020-07-03
1316432669 Delta Pharm LLC Pharmacy 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 2018-06-28
1689177552 Jp Pharma LLC Pharmacy 3534 Electric Rd, Roanoke, VA 24018-4453 2018-03-16
1861901340 Personalmed Virginia Pharmacy Services Pharmacy 12007 Sunrise Valley Dr Ste 110, Reston, VA 20191-3460 2017-09-27
1053841015 Specialty Care Rx LLC Pharmacy 111 Fashion Rd Ste Abc, Pounding Mill, VA 24637-1200 2017-06-13
1104362227 Prosperity Rx Arlington Pharmacy 5101 Lee Hwy, Arlington, VA 22207-1603 2017-01-12
1225574536 Hnr Family Pharmacy Pharmacy 3449 Fall Hill Ave, Fredericksburg, VA 22401-4929 2017-01-10
1144772476 Mechanicsville Chemist LLC Pharmacy 8324 Bell Creek Rd Ste 800, Mechanicsville, VA 23116-3849 2016-11-03
1700159696 Elkton Healthcare Services Inc Pharmacy 111 S Stuart Ave, Elkton, VA 22827-1525 2012-02-22
1497042956 Nova Pharmacy LLC Pharmacy 6023 Wilson Blvd, Arlington, VA 22205-1503 2011-07-06
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Competitor

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City LEESBURG
Zip Code 20175

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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