BEAVERDAM APOTHECARY (NPI# 1356417463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356417463 |
| Entity Type | Organization |
| Organization Name | BEAVERDAM APOTHECARY |
| Other Organization Name | BEAVERDAM APOTHECARY |
| Practice Address |
16151 Trainham Rd Ste B Beaverdam VA 23015-1301 |
| Practice Telephone | 8044496333 |
| Practice Fax Number | 8044496173 |
| Mailing Telephone | 8044496333 |
| Mailing Fax Number | 8044496173 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | HARRY BROOKS (OWNER) |
| Authorized Official Telephone | 8049088115 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0201001471 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1356417463 | 05 | |
| PK | 2156211 | 01 | |
| VA | 4814770 | 05 | |
| VA | 01356417463 | 05 |
| Other Name | Type Code |
|---|---|
| Beaverdam Apothecary | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Beaverdam Apothecary LLC | 16151-B Trainham Rd, Beaverdam, Virginia 23015 |
| Street Address |
16151 TRAINHAM RD STE B |
| City | BEAVERDAM |
| State | VA |
| Zip Code | 23015-1301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871861054 | Douglas Allen Harris | Pharmacist | 16151 Trainham Rd, Beaverdam, VA 23015-1301 | 2011-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821313115 | Beverdam Family Medicine, Ltd | Family Medicine | 16151a Trainham Road, Beaverdam, VA 23015-1301 | 2010-03-30 |
| 1588936066 | Brighter Solutions Medical Transport | Non-emergency Medical Transport (VAN) | 17286 Parsons Ridge Rd, Beaverdam, VA 23015-1560 | 2012-01-31 |
| 1841434412 | Kathleen Noonan Flores | Physical Therapist | 16173 Diligence Ct, Beaverdam, VA 23015-1570 | 2009-04-28 |
| 1619413812 | Portia Hairston | Social Worker | 16170 Buckfast Pl, Beaverdam, VA 23015-1571 | 2017-01-11 |
| 1649547993 | William Anthony Droppleman | Pharmacist | 14477 Overlook Ridge Ln, Beaverdam, VA 23015-1787 | 2011-11-30 |
| 1861604837 | Olaide Babatope Olusina | Physical Therapist | 15411 Beaver Den Ln, Beaverdam, VA 23015-2000 | 2007-05-04 |
| 1073853214 | James Carrigan | Social Worker | 16162 Pug Swamp Ln, Beaverdam, VA 23015-2005 | 2013-02-25 |
| 1992349641 | Lindsey Anderson Pine | Technician | 1431 Log Cabin Rd, Beaverdam, VA 23015-9505 | 2019-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376166405 | Be Well Connected, Pllc | Clinic/Center | 13965 N Willow Creek Dr, Beaverdam, UT 84306-8707 | 2020-05-23 |
| 1992349641 | Lindsey Anderson Pine | Technician | 1431 Log Cabin Rd, Beaverdam, VA 23015-9505 | 2019-11-05 |
| 1619413812 | Portia Hairston | Social Worker | 16170 Buckfast Pl, Beaverdam, VA 23015-1571 | 2017-01-11 |
| 1073853214 | James Carrigan | Social Worker | 16162 Pug Swamp Ln, Beaverdam, VA 23015-2005 | 2013-02-25 |
| 1558608828 | Mary Y Kunz | Licensed Practical Nurse | 6550 N Highway 151 Lot 63, Beaverdam, WI 53916 | 2013-01-07 |
| 1588936066 | Brighter Solutions Medical Transport | Non-emergency Medical Transport (VAN) | 17286 Parsons Ridge Rd, Beaverdam, VA 23015-1560 | 2012-01-31 |
| 1649547993 | William Anthony Droppleman | Pharmacist | 14477 Overlook Ridge Ln, Beaverdam, VA 23015-1787 | 2011-11-30 |
| 1841434412 | Kathleen Noonan Flores | Physical Therapist | 16173 Diligence Ct, Beaverdam, VA 23015-1570 | 2009-04-28 |
| 1861604837 | Olaide Babatope Olusina | Physical Therapist | 15411 Beaver Den Ln, Beaverdam, VA 23015-2000 | 2007-05-04 |
| 1487718896 | Richland Township Bd of Trustees | Ambulance | 201 W Main St, Beaverdam, OH 45808-9702 | 2006-12-20 |
| Find all providers in BEAVERDAM | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788381 | Maysons Pharmacy At Retreat Inc | Pharmacy | 110 N Robinson St Ste 101, Richmond, VA 23220-4459 | 2020-10-23 |
| 1275156572 | Herbert T Nguyen | Pharmacy | 5100 Harford Ln, Burke, VA 22015-1510 | 2020-05-20 |
| 1932720174 | Warrington Wellness and Compounding Pharmacy | Pharmacy | 805 Kent Pl Ste 104, Chesapeake, VA 23320-0768 | 2020-04-28 |
| 1467081273 | Chungkang Pharmacy, LLC | Pharmacy | 14637 Lee Hwy # 109b, Centreville, VA 20121-5829 | 2020-04-03 |
| 1174151716 | Vandorn Apothecary LLC | Pharmacy | 5724 Edsall Rd Alexandria Va 22304, Alexandria, VA 22304-4712 | 2020-03-30 |
| 1528691946 | Pharmacy One LLC | Pharmacy | 14904 Jefferson Davis Hwy Ste 101, Woodbridge, VA 22191-3908 | 2020-02-13 |
| 1477193936 | Anderson & Payne Pharmacy Inc | Pharmacy | 16 Gosnell Xing Ste 101, Staunton, VA 24401-6344 | 2020-01-13 |
| 1245876531 | Farmville Family Pharmacy, Inc. | Pharmacy | 1538 South Main Street, Farmville, VA 23901 | 2019-11-21 |
| 1215578901 | Jtj Medical Supply, Inc. | Pharmacy | 1001 Monticello Ave, Norfolk, VA 23510-2564 | 2019-10-03 |
| 1659912889 | Aylin Unal | Pharmacy | 1409 Emmet St N, Charlottesville, VA 22903-4874 | 2019-09-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BEAVERDAM APOTHECARY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.