| NPI | 1013555143 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2019-12-19 |
| Last Updated | 2020-03-27 |
| Authorized Official | Tiffany Hall Administrator Phone: 5714402401 |
| Mailing Address | 19500 Sandridge Way Ste 140 Leesburg, VA 20176-3689 United States 📍 View Map |
| Primary Practice Address | 19500 Sandridge Way Ste 140 Leesburg, VA 20176-3689 United States Phone: (571) 440-2401 | Fax: (571) 440-2405 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | VA | 1013555143 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | — | — |
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About NPI 1013555143
Gdt Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1013555143. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Leesburg, VA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2019-12-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1013555143?
NPI 1013555143 belongs to Gdt Llc, a Pharmacy, Community/Retail Pharmacy in Leesburg, VA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1013555143 active?
The current status of NPI 1013555143 in the NPPES registry is Active. The record was last updated on 2020-03-27.
What specialty is NPI 1013555143?
NPI 1013555143 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1013555143?
You can verify NPI 1013555143 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1013555143?
The primary practice address on file for NPI 1013555143 is 19500 Sandridge Way Ste 140, Leesburg, VA 20176-3689. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1013555143 issued?
NPI 1013555143 was first issued (enumerated) on 2019-12-19. The NPPES record was last updated on 2020-03-27.
Practice Location Map
Gdt Llc is located at 19500 Sandridge Way Ste 140, Leesburg, VA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Gdt Llc. All records sourced from the CMS NPPES registry.