PURCELLVILLE PHARMACY NPI 1770939779

NPI Information

  • NPI: 1770939779
  • Provider Name: PURCELLVILLE PHARMACY
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: PURCELLVILLE PHARMACY
  • Address: 609 E MAIN ST STE Q
    PURCELLVILLE, VA
    ZIP 20132
  • Phone: (540) 751-9750

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NPI Details

PURCELLVILLE PHARMACY is a pharmacy in Purcellville, VA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. PURCELLVILLE PHARMACY NPI is 1770939779. The provider is registered as an organization entity type.
The provider Is Doing Business As Purcellville Pharmacy.

The provider's business location address is:

609 E MAIN ST STE Q
PURCELLVILLE, VA
ZIP 20132-182
Phone: (540) 751-9750
Fax: (540) 441-7099

The provider's authorized official is Syam Bandi .
The authorized official title is Owner and has the following contact phone number (815) 342-7535.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Adm sarscv2 30mcg trs-sucr 1 (HCPCS:0051A)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)

The enumeration date for this NPI number is 5/9/2016 and was last updated on 10/7/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacy0201004721VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12162073OTHERPK
21770939779MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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