AUGUSTA REGIONAL CLINIC PHARMACY (NPI# 1376075283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376075283 |
| Entity Type | Organization |
| Organization Name | AUGUSTA REGIONAL CLINIC PHARMACY |
| Practice Address |
342 Mule Academy Rd Fishersville VA 22939-2256 |
| Practice Telephone | 5402216723 |
| Practice Fax Number | 5402216748 |
| Mailing Telephone | 5402216723 |
| Mailing Fax Number | 5402216748 |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |
| Authorized Official Name | MR. BENN LEGUM (PHARMACIST-IN-CHARGE) |
| Authorized Official Telephone | 5402216723 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
0201003131 | VA | Suppliers |
| Street Address |
342 MULE ACADEMY RD |
| City | FISHERSVILLE |
| State | VA |
| Zip Code | 22939-2256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477521086 | James Herron Edwards | Anesthesiology | 342 Mule Academy Rd, Fishersville, VA 22939-2256 | 2006-03-09 |
| 1609420330 | Erika Kancler | Family Medicine | 342 Mule Academy Rd, Fishersville, VA 22939-2256 | 2019-07-31 |
| 1154567683 | Augusta Regional Free Clinic, Inc. | Clinic/Center | 342 Mule Academy Rd, Fishersville, VA 22939-2256 | 2009-01-06 |
| 1629214853 | John Robert Talbert | Specialist | 342 Mule Academy Rd, Augusta Regional Free Clinic, Fishersville, VA 22939-2256 | 2008-12-17 |
| 1740433747 | Kimberly O'bryan Powell | Physician Assistant | 342 Mule Academy Rd, Fishersville, VA 22939-2256 | 2008-11-04 |
| 1881844413 | Elizabeth K Collins | Dentist | 342 Mule Academy Rd, Fishersville, VA 22939-2256 | 2008-09-18 |
| 1659325793 | Jo Anne Brown | Nurse Practitioner | 342 Mule Academy Rd, Fishersville, VA 22939-2256 | 2006-05-22 |
| 1548223753 | Augusta Regional Dental Clinic | Dentist | 342 Mule Academy Rd, Fishersville, VA 22939-2256 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568956951 | Randy Groves | Physical Therapy Assistant | 84 Crossroads Lane, Fishersville, VA 22939 | 2018-06-19 |
| 1679081749 | Melissa Michelle Yniguez | Occupational Therapy Assistant | 83 Crossroad Lane, Fishersville, VA 22939 | 2018-01-11 |
| 1699126110 | Ashley Bigger | Physical Therapy Assistant | 83 Crossroad Ln, Fishersville, VA 22939 | 2016-06-27 |
| 1497146070 | Savola Aesthetic Dermatology Center Plc | Dermatology | 66 Parkway Lane, Suite 101, Fishersville, VA 22939 | 2015-02-18 |
| 1669813416 | Keith Harlow Wolford | Family Medicine | 1615 Jefferson Highway, Suite 108, Fishersville, VA 22939 | 2013-07-09 |
| 1588903041 | Ashanti Dawn Samuel | Student in an Organized Health Care Education/Training Program | 83 Crossroads Lane, Fishersville, VA 22939 | 2013-02-04 |
| 1588902399 | Janaki Pinakin Patel | Internal Medicine | 70 Medical Center Cir Ste 201, Fishersville, VA 22939 | 2013-01-29 |
| 1659699734 | Augusta Health Care, Inc | Internal Medicine | 221 Medical Center Circle, Fishersville, VA 22939 | 2010-05-13 |
| 1386979037 | Kyle J Becker | Pharmacist | 57 Beam Lane, Suite 300, Fishersville, VA 22939 | 2009-10-14 |
| 1275782526 | Augusta Medical Group | Family Medicine | 53 S Medical Park Drive, Fishersville, VA 22939 | 2008-09-11 |
| Find all providers in zip 22939 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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 |
|---|---|---|---|---|
| 1134769888 | Mao Pharmacy, Inc. | Pharmacy | 3908 Nine Mile Rd Rm 518, Richmond, VA 23223-4913 | 2020-01-10 |
| 1083132450 | Kuumba Community Health & Wellness Center, Inc. | Pharmacy | 3716 Melrose Ave Nw Suite 130, Roanoke, VA 24017 | 2017-09-06 |
| 1518286863 | American Maritime Holdings Inc | Pharmacy | 816 Industrial Ave, Suite 100, Chesapeake, VA 23324-2615 | 2010-05-26 |
| 1174745616 | Virginia Commonweatlh University Student Health Pharmacy | Pharmacy | 1300 W. Broad Street, Suite 2200, Richmond, VA 23284 | 2007-05-03 |
| 1629160767 | Chesterfield County Department of Health | Pharmacy | 9501 Lucy Corr Cr, Chesterfield, VA 23832-0002 | 2006-09-28 |
| 1073548160 | Director of Finance-county of Fairfax Va | Pharmacy | 3750 Old Lee Highway, Fairfax, VA 22030-6903 | 2006-07-11 |
| 1124641410 | Comprehensive Hand Surgery Center | Pharmacy | 2819 N Parham Rd Ste 100, Richmond, VA 23294-4425 | 2020-05-21 |
| 1467975565 | Tds Health | Pharmacy | 4215 Dale Blvd, Woodbridge, VA 22193-2243 | 2017-07-20 |
| 1275069122 | Harrisonburg Rockingham Free Clinic | Pharmacy | 25 W Water St, Harrisonburg, VA 22801-3624 | 2017-05-11 |
| 1427582352 | Olivet Medical Ministry, Inc | Pharmacy | 1620 Old Williamsburg Rd, Yorktown, VA 23690-3910 | 2017-04-18 |
| Find all providers with the same taxonomy | ||||
| City | FISHERSVILLE |
| Zip Code | 22939 |
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| 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.