CENTERVILLE CARDINAL DRUG CENTER INC (NPI# 1922187608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922187608 |
| Entity Type | Organization |
| Organization Name | CENTERVILLE CARDINAL DRUG CENTER INC |
| Other Organization Name | GUNNS PHARMACY INC |
| Practice Address |
46a Broad Street Rd Manakin Sabot VA 23103-2213 |
| Practice Telephone | 8047845975 |
| Practice Fax Number | 8047844118 |
| Mailing Telephone | 8047845975 |
| Mailing Fax Number | 8047844118 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2014-09-12 |
| Authorized Official Name | EARL GUNN (PRES PHCST) |
| Authorized Official Telephone | 8047845975 |
| 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 |
0201002321 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 8515638 | 05 | |
| PK | 2104364 | 01 |
| Other Name | Type Code |
|---|---|
| GUNNS PHARMACY INC | Doing Business As Name - Organization |
| Street Address |
46A BROAD STREET RD |
| City | MANAKIN SABOT |
| State | VA |
| Zip Code | 23103-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760672661 | Berta Lisbeth Granados Ortega | Family Medicine | 46a Broad Street Rd, Manakin Sabot, VA 23103-2213 | 2007-07-26 |
| 1417147315 | Nelson Chen Fernandez | Family Medicine | 46a Broad Street Rd, Manakin Sabot, VA 23103-2213 | 2007-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871123943 | Lois Hermann Phillips | Optometrist | 9 Gamebird Ct, Manakin Sabot, VA 23103 | 2020-01-17 |
| 1467615336 | Dr.peter Guhl | Optometrist | 50 Broadstreet Road, Manakin Sabot, VA 23103 | 2008-07-09 |
| 1952347122 | Peter Murchie | Dentist | 1606 Hockett Rd, #3, Manakin-sabot, VA 23103 | 2006-06-22 |
| 1659861904 | Callie A. Carter | Physical Therapist | 44 Broad Street Rd, Manakin Sabot, VA 23103 | 2018-05-12 |
| 1154878288 | Erik Lineberry | Physical Therapist | 44 Broad Street Rd, Manakin Sabot, VA 23103 | 2016-09-07 |
| 1063074987 | Mvp Consulting | Nurse Practitioner | 2180 Gum Dr, Manakin Sabot, VA 23103-2033 | 2019-07-01 |
| 1386024503 | Linda Fletcher | Case Manager/Care Coordinator | 686 Rockford Rd, Manakin Sabot, VA 23103-2128 | 2015-06-03 |
| 1043692916 | Family Care Services, LLC | Case Management | 686 Rockford Rd, Manakin Sabot, VA 23103-2128 | 2015-06-26 |
| 1306241575 | Centerville Family Practice, P.C. | Family Medicine | 46 Broad Street Rd, Suite A, Manakin Sabot, VA 23103-2213 | 2014-10-29 |
| 1356498281 | Jennifer M Dickerson | Occupational Therapist | 40 Broad Street Rd, Manakin Sabot, VA 23103-2213 | 2007-01-04 |
| Find all providers in zip 23103 | ||||
| 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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| 1932720174 | Warrington Wellness and Compounding Pharmacy | Pharmacy | 805 Kent Pl Ste 104, Chesapeake, VA 23320-0768 | 2020-04-28 |
| 1467081273 | Chungkang Pharmacy, LLC | Pharmacy | 14637 Lee Hwy # 109b, Centreville, VA 20121-5829 | 2020-04-03 |
| 1174151716 | Vandorn Apothecary LLC | Pharmacy | 5724 Edsall Rd Alexandria Va 22304, Alexandria, VA 22304-4712 | 2020-03-30 |
| 1528691946 | Pharmacy One LLC | Pharmacy | 14904 Jefferson Davis Hwy Ste 101, Woodbridge, VA 22191-3908 | 2020-02-13 |
| 1477193936 | Anderson & Payne Pharmacy Inc | Pharmacy | 16 Gosnell Xing Ste 101, Staunton, VA 24401-6344 | 2020-01-13 |
| 1245876531 | Farmville Family Pharmacy, Inc. | Pharmacy | 1538 South Main Street, Farmville, VA 23901 | 2019-11-21 |
| 1215578901 | Jtj Medical Supply, Inc. | Pharmacy | 1001 Monticello Ave, Norfolk, VA 23510-2564 | 2019-10-03 |
| 1659912889 | Aylin Unal | Pharmacy | 1409 Emmet St N, Charlottesville, VA 22903-4874 | 2019-09-29 |
| Find all providers with the same taxonomy | ||||
| City | MANAKIN SABOT |
| Zip Code | 23103 |
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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.