Organization
LEISURE WORLD OF MD CORP
Active
Organization
LEISURE WORLD OF MD CORP
Active
Other names
LEISURE WORLD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA BRONAUGH PD (ADMINISTRATOR)
(301) 598-1550
Entity
Organization
Contact information
Practice address
3305 N LEISURE WORLD BLVD, SILVER SPRING, MD 20906-1367
(301) 598-1005
(301) 598-1548
Mailing address
3305 N LEISURE WORLD BLVD, SILVER SPRING, MD 20906-1367
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
P01564
MD
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2111172
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
02/15/2006
Last updated
09/11/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up