BLUE RIDGE MEDICAL CENTER (NPI# 1730559329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730559329 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE MEDICAL CENTER |
| Practice Address |
4038 Thomas Nelson Hwy Arrington VA 22922-2302 |
| Practice Telephone | 4342634000 |
| Practice Fax Number | 4342634160 |
| Mailing Telephone | 4342634000 |
| Mailing Fax Number | 4342634160 |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2015-09-25 |
| Authorized Official Name | MRS. MARGARET WHITEHEAD (CEO) |
| Authorized Official Telephone | 4342634000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0201003758 | VA | Suppliers |
| Y | 333600000X | Pharmacy | 0201003758 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | NABP (NATIONAL ASSOCIATION OF BOARDS OF PHARMACY) | 4836562 | 01 |
| VA | VIRGINIA PHARMACY LICENSE | 0201003758 | 01 |
| VA | 8510865 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164775342 | Blue Ridge Medical Center | Podiatrist | 433 Church St, New Milford, PA 18834-6603 | 2012-10-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BLUE RIDGE MEDICAL CENTER | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 |
| Street Address |
4038 THOMAS NELSON HWY |
| City | ARRINGTON |
| State | VA |
| Zip Code | 22922-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073595666 | Rebecca B Young | Family Medicine | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2005-11-18 |
| 1013566223 | Melissa Bond | Nurse Practitioner | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2019-09-10 |
| 1114574100 | Kelley Marie Mayberry | Dentist | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2019-08-23 |
| 1104489111 | Michelle Rae Blair | Nurse Practitioner | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2019-04-16 |
| 1386121531 | Danielle Petrosky Free | Nurse Practitioner | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2018-07-20 |
| 1942795307 | Richard Dixon Sykes | Dentist | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2018-06-28 |
| 1538666912 | Kathryn Leslee Phillips | Dietitian, Registered | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2018-04-11 |
| 1770091787 | Marianne Teresa Russell | Family Medicine | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2018-01-12 |
| 1023565132 | Benjamin Elliott Nissley | Nurse Practitioner | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2016-09-07 |
| 1134532567 | Heidi Lea Kelly | Registered Nurse | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2014-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679580922 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 4038 Thomas Nelson Highway, Arrington, VA 22922 | 2006-08-01 |
| 1144389818 | Julie S Setliff | Pharmacist | 4038 Thomas Nelson Highway, Arrington, VA 22922 | 2006-12-08 |
| 1215915814 | Benjamin Timothy Brown | Family Medicine | 4038 Thomas Nelson Hwy., Blue Ridge Health Center, Inc., Arrington, VA 22922-2302 | 2006-01-04 |
| 1346755162 | April Aldridge | Speech-Language Pathologist | 5198 Thomas Nelson Hwy, Arrington, VA 22922-2637 | 2017-12-04 |
| 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 |
|---|---|---|---|---|
| 1083675862 | Blue Ridge Health Center Inc | Pharmacy | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2006-03-31 |
| 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 | ||||
Please comment or provide details below to improve the information on BLUE RIDGE MEDICAL CENTER.
| 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.