JTW PHARMACY INC (NPI# 1386653921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386653921 |
| Entity Type | Organization |
| Organization Name | JTW PHARMACY INC |
| Other Organization Name | WONDER DRUG |
| Practice Address |
15818 Stewartsville Rd Vinton VA 24179 |
| Practice Telephone | 5408903027 |
| Practice Fax Number | 5408905394 |
| Mailing Telephone | 5408903027 |
| Mailing Fax Number | 5408905394 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-08-17 |
| Authorized Official Name | JENNIFER TILLEY WITT (OWNER) |
| Authorized Official Telephone | 5408903027 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 0201001662 | VA | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 008512191 | 05 | |
| VA | NABP | 4815392 | 01 |
| Other Name | Type Code |
|---|---|
| Wonder Drug | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | JTW Pharmacy Inc. | 1302 Second St Sw, Roanoke, Virginia 24016 |
| Street Address |
15818 STEWARTSVILLE RD |
| City | VINTON |
| State | VA |
| Zip Code | 24179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255721320 | Lucas Vance | Specialist/Technologist | 1008 Wyndham Dr., Vinton, VA 24179 | 2015-01-28 |
| 1093114787 | Danielle Powell | Specialist/Technologist | 915 Norbourne Avenue, Vinton, VA 24179 | 2014-08-19 |
| 1083046593 | Jessica Stallard | Social Worker | 1120 Bypass Rd, Vinton, VA 24179 | 2013-08-07 |
| 1639375629 | Kenneth J Miller | Chiropractor | 2445 East Washington Ave, Suite B, Vinton, VA 24179 | 2007-06-26 |
| 1659572972 | R. Kevin Greenway, D.d.s. Ralph N. Greenway, D.d.s., P.C. | Dentist | 614 East Washington Avenue, Vinton, VA 24179 | 2007-05-31 |
| 1265651749 | Ralph N. Greenway | Dentist | 614 E.washington Ave., Vinton, VA 24179 | 2007-04-24 |
| 1033139944 | Pharmerica Drug Systems LLC | Pharmacy | 9386 Hardy Road, Vinton, VA 24179 | 2006-07-20 |
| 1619996261 | Victor S. Skaff Jr. | Dentist | 1337 Hardy Road, Vinton, VA 24179 | 2006-07-18 |
| 1396728317 | Jefferson Kirkland Teass | Chiropractor | 300 Virginia Ave, Vinton, VA 24179 | 2005-11-23 |
| 1053854141 | Access Family Care of Southwest Virginia | Case Management | 709 Kenyon Rd, Vinton, VA 24179 | 2016-11-22 |
| Find all providers in zip 24179 | ||||
| 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] |
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| 1164525895 | Virginia Cvs Pharmacy LLC | Pharmacy | 1022 Hardy Rd, Vinton, VA 24179-2241 | 2006-09-07 |
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| 1356743124 | Fred's Stores of Tennessee Inc. | Pharmacy | 1301 Horridge St, Vinton, LA 70668-4531 | 2014-09-23 |
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| 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 | ||||
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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.