{"npi":"1780741983","type":"NPI-2","status":"active","name":{"display":"Leesburg Regional Medical Center INC","other":[],"organization_name":"LEESBURG REGIONAL MEDICAL CENTER INC","authorised_official":"Heather Long"},"specialty":{"primary_taxonomy":"3336C0003X","primary_taxonomy_description":"Community/Retail Pharmacy","slug":"community-retail-pharmacy","schema_org_specialty":null,"all":[{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"600 E DIXIE AVE","city":"LEESBURG","state":"FL","postal_code":"347485925","country_code":"US","street_2":"OUTPATIENT PHARMACY ROOM 1046","phone":"3523235384","fax":"3523153679"},{"purpose":"MAILING","street_1":"600 E. DIXIE AVENUE","city":"LEESBURG","state":"FL","postal_code":"347485994","country_code":"US","street_2":"ATTN: REIMBURSEMENT DEPT.","phone":"3523235380","fax":"3523155384"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"10-29594","state":"FL","issuer":"NABP"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20250205003492","type_code":"12-A5","type_desc":"PART B SUPPLIER - PHARMACY","state":"FL","pac_id":"1254228448"}]},"enumeration_date":"2007-01-03","last_updated":"2024-08-15","_meta":{"source":"NPPES","snapshot_date":"2024-08-15","doc_url":"https://findmynpi.com/api"}}