SHAWSVILLE PHARMACY INC (NPI# 1639148521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639148521 |
Entity Type | Organization |
Organization Name | SHAWSVILLE PHARMACY INC |
Practice Address |
6920 Roanoke Rd Shawsville VA 24162 |
Mailing Address |
Po Box 308 Shawsville VA 24162-0308 |
Practice Telephone | 5402682555 |
Practice Fax Number | 5402685009 |
Enumeration Date | 2006-03-14 |
Last Update Date | 2015-10-15 |
Authorized Official Name | WILLIAM FAUBER (PHARMACIST CO OWNER) |
Authorized Official Telephone | 5402682555 |
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 |
0201002356 | VA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 008515671 | 05 | |
VA | 009132341 | 05 | |
VA | NCPDP | 4844949 | 01 |
VA | NCPDP | 4820470 | 01 |
VA | 1770910655 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770910655 | Shawsville Pharmacy Inc | Pharmacy | 300 1st St Sw, Roanoke, VA 24011-1901 | 2013-10-08 |
1134260516 | Shawsville Pharmacy Inc | Pharmacy | 2201 Crystal Spring Ave Sw, Roanoke, VA 24014-2416 | 2007-02-09 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | SHAWSVILLE PHARMACY INC. | 1412 Honeysuckle Dr, Blacksburg, Virginia 24060-0391 |
Street Address |
6920 ROANOKE RD |
City | SHAWSVILLE |
State | VA |
Zip Code | 24162 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528056355 | Mary D Leatherland | Family Medicine | 6920 Roanoke Rd, Shawsville, VA 24162-0467 | 2005-10-06 |
1669452066 | Julia T Hemphill | Family Medicine | 6920 Roanoke Rd, Shawsville, VA 24162-2018 | 2006-01-20 |
1134102619 | Robert M Dums | Family Medicine | 6920 Roanoke Rd, Shawsville, VA 24162-2018 | 2005-11-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801948575 | Janice S Hixon | Nurse Practitioner | 6920 Roanoke Road, Shawsville, VA 24162 | 2007-01-16 |
1487140174 | Jonathan Dwyte Robinson | Dentist | 6910 Roanoke Rd, Shawsville, VA 24162 | 2018-07-05 |
1306238902 | Andre Jenkins | Nurse Practitioner | 6920 Roanoke Road, Shawsville, VA 24162 | 2015-02-19 |
1821259524 | Emily Cousineau Sherburne | Physician Assistant | 6920 Roanoke Road, Shawsville, VA 24162 | 2008-06-24 |
1184830002 | Louise Ruth Coats | Nurse Practitioner | 6920 Roanoke Road, Shawsville, VA 24162 | 2007-05-15 |
1043200421 | William O Armour | Dentist | 6910 Roanoke Rd, Shawsville, VA 24162-2018 | 2005-10-26 |
1538450077 | Hannah Michelle Hughes | Physical Therapy Assistant | 735 Mount Pleasant Rd, Shawsville, VA 24162-2243 | 2011-05-02 |
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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Find all providers with the same taxonomy |
City | SHAWSVILLE |
Zip Code | 24162 |
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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.