NICKELSVILLE PHARMACY INC (NPI# 1659761807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659761807 |
| Entity Type | Organization |
| Organization Name | NICKELSVILLE PHARMACY INC |
| Other Organization Name | NICKELSVILLE PHARMACY |
| Practice Address |
11708 Nickelsville Hwy Nickelsville VA 24271 |
| Mailing Address |
11708 Nickelsville Highway Nickelsville VA 24271 |
| Practice Telephone | 2764792600 |
| Practice Fax Number | 2764792652 |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2016-12-09 |
| Authorized Official Name | DR. RICK MULLINS (OWNER) |
| Authorized Official Telephone | 2763939825 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1659761807 | 05 |
| Other Name | Type Code |
|---|---|
| Nickelsville Pharmacy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Nickelsville Pharmacy Inc. | 11708 Nickelsville Highway, Nickelsville, Virginia 24271 |
| Street Address |
11708 NICKELSVILLE HWY |
| City | NICKELSVILLE |
| State | VA |
| Zip Code | 24271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720559537 | Rachel Owens Burke | Nurse Practitioner | 723 Little Duck Road, Nickelsville, VA 24271 | 2018-12-06 |
| 1689011470 | Family Preservation Services, Inc. | Community/Behavioral Health | 1154 Twin Springs Rd, Nickelsville, VA 24271 | 2013-06-03 |
| 1396980777 | Family Preservation Services, Inc. | Community/Behavioral Health | 11445 Nickelsville Highway, Nickelsville, VA 24271 | 2008-12-12 |
| 1467565804 | Mountain Region Family Medicine PC | Family Medicine | 142 Meade Avenue, Nickelsville, VA 24271 | 2006-08-17 |
| 1891708111 | Gregory L Demotts | Family Medicine | 142 Meade Ave, Nickelsville, VA 24271-2108 | 2006-08-15 |
| 1205071750 | Family Presrvation Services, Inc | Community/Behavioral Health | 273 Titan Ln, Nickelsville, VA 24271-2610 | 2008-12-12 |
| 1811303118 | Angelyn Debord | Counselor | 409 Grazing Acres Dr, Nickelsville, VA 24271-3329 | 2014-07-08 |
| 1649768706 | Tara Alvarez | Lactation Consultant, Non-RN | 553 Taylor St, Nickelsville, VA 24271-3507 | 2018-04-24 |
| 1457752768 | Meghan Elizabeth Salyer | Speech-Language Pathologist | 11415 Nickelsville Hwy, Nickelsville, VA 24271-3517 | 2014-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649440876 | Nickelsville Rescue Squad | Ambulance | 11840 Nickelsville Highway, Nickelsville, VA 24217-0237 | 2008-03-04 |
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998920 | Schiffert Health Center | Pharmacy | 895 Washington Street Sw Virginia Tech Mccomas Hall, Blacksburg, VA 24061-0140 | 2020-07-02 |
| 1912521675 | Duke Pharmacy LLC | Pharmacy | 5130 Duke St Ste 7b, Alexandria, VA 22304-2955 | 2020-05-28 |
| 1942847900 | Medspack Ltc Inc | Pharmacy | 14121 Parke Long Ct Ste 112, Chantilly, VA 20151-1647 | 2019-12-09 |
| 1275175804 | Duyen K Nguyen | Pharmacy | 4497 Morning Wind Ct, Annandale, VA 22003-5902 | 2019-10-15 |
| 1447892450 | Seaside Pharmacy LLC | Pharmacy | 1630 Donna Dr Ste 103, Virginia Beach, VA 23451-6188 | 2019-10-10 |
| 1083255426 | E's-y Rider Cab & Transport Co LLC | Pharmacy | 562 W 29th St, Buena Vista, VA 24416-1506 | 2019-10-07 |
| 1346891918 | Martin's Pharmacy of Rural Retreat Inc | Pharmacy | 100 W Buck Ave, Rural Retreat, VA 24368-2515 | 2019-09-25 |
| 1417418005 | Village Economy Drug Inc | Pharmacy | 443 Duff Patt Hwy Ste 104, Duffield, VA 24244-5191 | 2019-03-27 |
| 1538642434 | Avs Pharmacy LLC | Pharmacy | 161 Fort Evans Rd Ne Ste 115, Leesburg, VA 20176-3370 | 2018-09-07 |
| 1316427347 | Plaza Economy Drug Inc | Pharmacy | 1123 Plaza Dr, Grundy, VA 24614-6780 | 2018-08-20 |
| Find all providers with the same taxonomy | ||||
| City | NICKELSVILLE |
| Zip Code | 24271 |
Please comment or provide details below to improve the information on NICKELSVILLE PHARMACY INC.
| 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.