Healthcare Provider Details

I. General information

NPI: 1801993738
Provider Name (Legal Business Name): LAMAR AND SEYMOUR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 W MAIN ST
ORANGE VA
22960-1555
US

IV. Provider business mailing address

130 W MAIN ST
ORANGE VA
22960-1555
US

V. Phone/Fax

Practice location:
  • Phone: 540-661-5006
  • Fax: 540-661-5010
Mailing address:
  • Phone: 540-661-5006
  • Fax: 540-661-5010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number0201004031
License Number StateVA

VIII. Authorized Official

Name: SIVASANKAR BEERAVALLI
Title or Position: PHARMACIST-OWNER
Credential: RPH
Phone: 540-623-9183