KING GEORGE PHARMACY, INC. (NPI# 1578532842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578532842 |
| Entity Type | Organization |
| Organization Name | KING GEORGE PHARMACY, INC. |
| Practice Address |
11463 Ridge Rd King George VA 22485-4078 |
| Mailing Address |
Po Box 122 King George VA 22485-0122 |
| Practice Telephone | 5407759200 |
| Practice Fax Number | 5407754011 |
| Mailing Telephone | 5407759200 |
| Mailing Fax Number | 5407754011 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. WILLIAM B. GALLAHAN (OWNER) |
| Authorized Official Telephone | 5407759200 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
0201001219 | VA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497724488 | King George Pharmacy, Inc. | Clinic/Center | 15427 Dahlgren Rd, King George, VA 22485-5619 | 2006-03-14 |
| Street Address |
11463 RIDGE RD |
| City | KING GEORGE |
| State | VA |
| Zip Code | 22485-4078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114109261 | Dominion Medical Center, LLC | Internal Medicine | 11463 Ridge Rd, King George, VA 22485-4078 | 2007-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528699675 | Philicia J King | Nurse Practitioner | 16463 Va-206, King George, VA 22485 | 2020-01-28 |
| 1811492994 | Jason J Wheeler | Psychologist | King George High School, 10100 Foxes Way, King George, VA 22485 | 2018-03-29 |
| 1649668690 | Access Eye Centers, PC | Optometrist | 7961 Kings Hwy., King George, VA 22485 | 2014-12-29 |
| 1568808277 | Alice Ann Pallotti | Massage Therapist | 9305 King's Hwy, Suite A, King George, VA 22485 | 2013-05-21 |
| 1679876296 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 11458 Kings Highway, King George, VA 22485 | 2010-12-21 |
| 1962679506 | Kathleen Ann Fitzsimmons | Counselor | 5506 Payne Dr, King George, VA 22485 | 2008-05-13 |
| 1275574279 | Kristie F Mcdowell | Physician Assistant | 11131 Journal Parkway, King George, VA 22485 | 2006-06-09 |
| 1780675702 | King George Life Care, LLC | Skilled Nursing Facility | 10051 Foxes Way, Box 495, King George, VA 22485 | 2005-10-31 |
| 1881059624 | Jill Bain Wine | Speech-Language Pathologist | 5254 Potomac Dr Ste A, King George, VA 22485 | 2015-12-21 |
| 1245486802 | Roosevelt Dean Jr. | Family Medicine | 11131 Journal Parkway, King George, VA 22485 | 2008-08-14 |
| Find all providers in zip 22485 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497724488 | King George Pharmacy, Inc. | Clinic/Center | 15427 Dahlgren Rd, King George, VA 22485-5619 | 2006-03-14 |
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| 1518366707 | Stephen Scarlata | Clinic/Center | 4446 Briarwood Ct S, Annandale, VA 22003-4836 | 2014-08-14 |
| 1053677690 | Leonard S Levine | Clinic/Center | 6205 Marilyn Dr, Alexandria, VA 22310-1520 | 2012-04-09 |
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| Find all providers with the same taxonomy | ||||
| City | KING GEORGE |
| Zip Code | 22485 |
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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.