STREET DRUG CORPORATION (NPI# 1477534709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477534709 |
Entity Type | Organization |
Organization Name | STREET DRUG CORPORATION |
Other Organization Name | FAMILY DRUG CENTER |
Practice Address |
110 W Main St Lebanon VA 24266-4214 |
Practice Telephone | 2768891919 |
Practice Fax Number | 2768894635 |
Mailing Telephone | 2768891919 |
Mailing Fax Number | 2768894635 |
Enumeration Date | 2005-11-14 |
Last Update Date | 2014-08-26 |
Authorized Official Name | RALPH STREET (VP PHARMACY) |
Authorized Official Telephone | 2768891919 |
Authorized Official Credential | RPH |
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 |
0201002833 | VA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2104077 | 01 | |
VA | 008531315 | 05 |
Other Name | Type Code |
---|---|
FAMILY DRUG CENTER | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | STREET DRUG CORPORATION | 110 West Main St, Ste 1, Lebanon, Virginia 24266 |
Street Address |
110 W MAIN ST |
City | LEBANON |
State | VA |
Zip Code | 24266-4214 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659703734 | Gloria Faye Kennedy | Nurse Practitioner | 110 W Main St, Suite 2, Lebanon, VA 24266-4214 | 2013-07-31 |
1184935215 | Choice Respiratory & Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 110 W Main St, Suite 3a, Lebanon, VA 24266 | 2010-06-23 |
1982745741 | Pulmonary Associates of Kingsport | Clinic/Center | 110 W Main St, Suite 3, Lebanon, VA 24266-4214 | 2007-02-12 |
1164433587 | Willie Hamilton | Nurse Practitioner | 110 W Main St, Suite 2, Lebanon, VA 24266-4560 | 2006-08-10 |
1164407177 | Ralph Lee Street | Pharmacist | 110 W Main St, Suite #1, Lebanon, VA 24266-4430 | 2005-12-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114541174 | Nextdoor Drug | Pharmacist | 932 W Main St, Lebanon, VA 24266 | 2020-06-04 |
1720638661 | Advanced Practice Primary Care, Pllc | Nurse Practitioner | 2336 Coal Tipple Hollow, Lebanon, VA 24266 | 2019-09-12 |
1962051763 | Best Life Physical Therapy Inc. | Physical Therapist | 383 Technology Park Drive, Lebanon, VA 24266 | 2019-09-05 |
1093361024 | Alexis Rae Carson | Psychologist | 84 Dr Lorraine C. Turner Dr. Russell County Public Scho, Lebanon, VA 24266 | 2019-08-15 |
1457821019 | Blue Ridge Medical Management Corporation | Internal Medicine | 71 S Flannagan Ave Suite 81, Lebanon, VA 24266 | 2018-11-27 |
1457867202 | Elizabeth Altizer Baker | Speech-Language Pathologist | 84 Lorraine C. Turner Dr., Russell County Public Schools, Lebanon, VA 24266 | 2017-12-15 |
1851805683 | Laura Hankins Vencill | Speech-Language Pathologist | Russell County Public Schools, 84 Lorraine C. Turner Dr., Lebanon, VA 24266 | 2017-12-01 |
1487168670 | Stacy Nichole Davis | Counselor | 78 Rogers St, Lebanon, VA 24266 | 2017-11-27 |
1568976751 | Kelly Elizabeth Smith | Counselor | 216 Gilmer Street, Lebanon, VA 24266 | 2017-11-27 |
1659883312 | Sara K Poole | Occupational Therapist | 408 Fields Ave., Lebanon, VA 24266 | 2017-11-02 |
Find all providers in zip 24266 |
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 |
---|---|---|---|---|
1588212096 | Kratzer Pharmacy Inc. | Pharmacy | 118 W Main St Ste D, Lebanon, OH 45036-2098 | 2019-08-28 |
1235690835 | Stauffers Drug Store Ltd | Pharmacy | 920 Church St Ste 100, Lebanon, PA 17046-4656 | 2019-03-27 |
1073929220 | Genoa Healthcare, LLC | Pharmacy | 975b Kingsview Dr, Lebanon, OH 45036-9562 | 2014-07-09 |
1598975013 | Mid Valley Healthcare Inc | Pharmacy | 675 N 5th Street, Lebanon, OR 97355-2875 | 2007-05-23 |
1386739225 | Prescriptions Plus | Pharmacy | 753 True Value Dr, Lebanon, IL 62254-1593 | 2006-10-04 |
1487755781 | Cowan Drugs Inc | Pharmacy | 112 N Lebanon St, Lebanon, IN 46052 | 2006-09-26 |
1124126735 | Pennsylvania Cvs Pahrmacy, L.L.C. | Pharmacy | 1760 Quention Rd Cedar Crest Square, Lebanon, PA 17042 | 2006-09-20 |
1720185333 | Wilkinson Pharmacy Inc | Pharmacy | 143 W Elm, Lebanon, MO 65536 | 2006-09-19 |
1609979319 | Tennessee Cvs Pharmacy, L.L.C. | Pharmacy | 1228 W Main St, Lebanon, TN 37087-3208 | 2006-09-07 |
1649373358 | Ohio Cvs Stores LLC | Pharmacy | 605 Columbus Ave, Lebanon, OH 45036-1605 | 2006-09-07 |
Find all providers in LEBANON |
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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.