MR. JOHN W BASS JR. (NPI# 1851464465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851464465 |
| Entity Type | Individual |
| Full Name | MR. JOHN W BASS JR. |
| Credential | RPH |
| Practice Address |
4121 Halifax Road South Boston VA 24592 |
| Mailing Address |
Po Box 788 469 Lakeside Drive Halifax VA 24558 |
| Practice Telephone | 4345750511 |
| Practice Fax Number | 4345751366 |
| Mailing Telephone | 4344766629 |
| Mailing Fax Number | 4345751366 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202003779 | VA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548562143 | John Wesley Bass | Clinic/Center | 2398 E. Camelback Rd, 980, Phoenix, AZ 85016 | 2010-12-02 |
| 1912075367 | John Marshall Bass | Dentist | 212 N Mecklenburg Ave, South Hill, VA 23970-2048 | 2006-12-02 |
| 1891757571 | John Robert Bass | Dentist | 13500 Otter Creek Pkwy, Little Rock, AR 72210-5792 | 2006-04-06 |
| 1346803418 | John D Bass | Case Manager/Care Coordinator | 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2019-04-15 |
| 1255724274 | John Browning Bass | Emergency Medicine | 4076 Neely Rd, Fairbanks, AK 99703 | 2015-03-16 |
| 1801235320 | John Lee Bass | Nurse Practitioner | 1010 Murray Ave, Trauma & Emergency Surgery, Svrmc, San Luis Obispo, CA 93405-1806 | 2013-06-18 |
| 1134404213 | John Christopher Bass | Pharmacist | 301 W Main St, Watertown, WI 53094-7629 | 2011-10-20 |
| 1205043320 | John Michael Bass | Counselor | 7200 Bancroft Ave Ste 125c, Oakland, CA 94605-2415 | 2007-05-17 |
| 1336288091 | John Watson Bass | Physician Assistant | 2704 Medical Office Pl, Goldsboro, NC 27534-9460 | 2007-02-06 |
| 1083725188 | John Leslie Bass | Optometrist | 3000 S Hulen St, Ste 104, Fort Worth, TX 76109-1930 | 2006-08-31 |
| Street Address |
4121 HALIFAX ROAD |
| City | SOUTH BOSTON |
| State | VA |
| Zip Code | 24592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966398 | Transformations Center for Health Wellness LLC | Counselor | 2170 Sandy Beach Road, South Boston, VA 24592 | 2019-11-12 |
| 1740830215 | Kirstyn Lokker | Occupational Therapist | 1 High School Circle, South Boston, South Boston, VA 24592 | 2019-09-17 |
| 1841764248 | Nicole Ivey | Occupational Therapy Assistant | 103 Rosehil Rd, South Boston, VA 24592 | 2019-01-18 |
| 1841700960 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 130 Aubreys Loop, South Boston, VA 24592 | 2017-10-03 |
| 1659828820 | Family Preservation Services, Inc | Community/Behavioral Health | 1 High School Circle, South Boston, VA 24592 | 2016-09-06 |
| 1316222821 | Family and Children Enrichment Services Inc. | Health Maintenance Organization | 220 Paradise Lane, South Boston, VA 24592 | 2011-10-15 |
| 1326365578 | Brinda Howard | Nurse's Aide | 104 Love Shop Park Rd Lot #25, South Boston, VA 24592 | 2010-04-28 |
| 1356513543 | Betts Medical Supplies, LLC. | Durable Medical Equipment & Medical Supplies | 403 Factory Street, Suite B, South Boston, VA 24592 | 2008-03-27 |
| 1407051873 | Dominion Health Medical Assoc | Legal Medicine | 101 Aubrey's Loop Rd, South Boston, VA 24592 | 2007-06-18 |
| 1437352945 | Behavioral Health Associates, Inc. | Non-emergency Medical Transport (VAN) | 515 Yancey Ave, South Boston, VA 24592 | 2007-06-11 |
| Find all providers in zip 24592 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013220243 | Kathleen L. Golden | Pharmacist | 710 East Broadway, South Boston, MA 02127 | 2010-07-16 |
| 1023282159 | Christopher Francis Conboy | Pharmacist | 710 E Broadway, South Boston, MA 02127-1504 | 2008-04-18 |
| 1255432522 | April Saunders Lacks | Pharmacist | 4121 Halifax Rd, South Boston, VA 24592 | 2006-09-26 |
| 1013517515 | Dorothy Ann Mcdannald | Pharmacist | 3471 Old Halifax Rd, South Boston, VA 24592-4936 | 2020-10-26 |
| 1356954580 | Stephen Neil Titus | Pharmacist | 3220 Halifax Rd, South Boston, VA 24592-4908 | 2020-08-27 |
| 1528679685 | Tiffany Francisco | Pharmacist | 3220 Halifax Rd, South Boston, VA 24592-4908 | 2020-08-12 |
| 1154948438 | Stephen Anderson | Pharmacist | 4121 Halifax Rd, South Boston, VA 24592-4833 | 2020-07-02 |
| 1518418284 | Marie D'angelo | Pharmacist | 710 E Broadway, South Boston, MA 02127-1504 | 2016-10-18 |
| 1598120610 | Mary Kate Mccann | Pharmacist | 423 W Broadway, South Boston, MA 02127-2262 | 2015-12-16 |
| 1265848485 | Jamie Robinette | Pharmacist | 3220 Halifax Rd, South Boston, VA 24592-4908 | 2014-07-08 |
| Find all providers in SOUTH BOSTON | ||||
| City | SOUTH BOSTON |
| Zip Code | 24592 |
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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.