STONY CREEK PHARMACY LLC (NPI# 1538268404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538268404 |
| Entity Type | Organization |
| Organization Name | STONY CREEK PHARMACY LLC |
| Other Organization Name | STONY CREEK PHARMACY |
| Practice Address |
12451 Main Street Stony Creek VA 23882 |
| Mailing Address |
Po Box 185 Stony Creek VA 23882-0185 |
| Practice Telephone | 4342465191 |
| Practice Fax Number | 4342463607 |
| Mailing Telephone | 4342465191 |
| Mailing Fax Number | 4342463607 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2016-06-23 |
| Authorized Official Name | H OTTO WACHSMANN (OWNERPIC,AO) |
| Authorized Official Telephone | 4342465191 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0201001580 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1538268404 | 05 | |
| PK | 2102912 | 01 | |
| VA | 010036267 | 05 |
| Other Name | Type Code |
|---|---|
| STONY CREEK PHARMACY | Doing Business As Name - Organization |
| Street Address |
12451 MAIN STREET |
| City | STONY CREEK |
| State | VA |
| Zip Code | 23882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255525382 | Howard Otto Wachsmann Jr. | Pharmacist | 12451 Main Street, Stony Creek, VA 23882 | 2007-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932478773 | Stony Creek Rescue Squad | Ambulance | 13328 Bluestar Hwy, Stony Creek, VA 23882 | 2011-12-23 |
| 1427118124 | Personal Touch Home Care Services | Home Health Aide | 11042 Blue Star Hwy, Stony Creek, VA 23882-0305 | 2006-12-11 |
| 1588285662 | Lindley Walker Abernathy | Nurse Practitioner | 25506 Courthouse Rd, Stony Creek, VA 23882-2042 | 2020-04-30 |
| 1104337278 | Stephen Wendell Hill | Driver | 7214 Parham Rd, Stony Creek, VA 23882-2728 | 2017-10-17 |
| 1528495116 | D19 Transportation Service, LLC. | Taxi | 10004 Blue Star Hwy, Stony Creek, VA 23882-3218 | 2013-09-27 |
| 1982233490 | D19 Transportation Service Inc. | Ambulance | 10004 Blue Star Hwy, Stony Creek, VA 23882-3218 | 2020-04-06 |
| 1669857835 | D19 Transportation Service Inc. | Non-emergency Medical Transport (VAN) | 10004 Blue Star Hwy, Stony Creek, VA 23882-3218 | 2015-07-29 |
| 1891766549 | Malalai Azmi | Family Medicine | 12454 Hartley St, Stony Creek, VA 23882-3302 | 2006-01-31 |
| 1376515031 | Stony Creek Community Health Center | Clinic/Center | 12454 Hartley St, Stony Creek, VA 23882-3302 | 2006-02-06 |
| 1164493813 | Michael D Matherlee | Family Medicine | 12454 Hartley St, Stony Creek, VA 23882-3302 | 2006-01-31 |
| Find all providers in zip 23882 | ||||
| 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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| 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 | ||||
| City | STONY CREEK |
| Zip Code | 23882 |
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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.