FORT CHISWELL PHARMACY INC (NPI# 1992802821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992802821 |
| Entity Type | Organization |
| Organization Name | FORT CHISWELL PHARMACY INC |
| Other Organization Name | FORT CHISWELL PHARMACY |
| Practice Address |
791 Fort Chiswell Rd Suite B Max Meadows VA 24360-4139 |
| Practice Telephone | 2766373178 |
| Practice Fax Number | 2766374158 |
| Mailing Telephone | 2766373178 |
| Mailing Fax Number | 2766374158 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-11-10 |
| Authorized Official Name | STACY PETRUNYAK (PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 2766373178 |
| 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 |
0201002590 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2104830 | 01 | |
| VA | 8504156 | 05 |
| Other Name | Type Code |
|---|---|
| Fort Chiswell Pharmacy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | FORT CHISWELL PHARMACY INC. | 791 Fort Chiswell Road Suite B, Max Meadows, Virginia 24360 |
| Street Address |
791 FORT CHISWELL RD SUITE B |
| City | MAX MEADOWS |
| State | VA |
| Zip Code | 24360-4139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962445627 | Catherine Harrington | Nurse Practitioner | 791 Fort Chiswell Rd, Suite A, Max Meadows, VA 24360-4139 | 2006-06-13 |
| 1104158401 | Fort Chiswell Family Care, Pllc | Family Medicine | 791 Fort Chiswell Rd, Suite A, Max Meadows, VA 24360-4139 | 2010-02-11 |
| 1427199074 | Joseph Bradley Terry | Obstetrics & Gynecology | 791 Fort Chiswell Rd, Suite A, Max Meadows, VA 24360-4139 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326560947 | Quality Care Logistics Ambulance Service LLC | Ambulance | 2796 East Lee Highway, Max Meadows, VA 24360 | 2017-07-14 |
| 1760723803 | Twin Quality Nursing Services, Inc. | Nursing Care | 14 West Main St., Suite 218, Thomasville, NC 24360 | 2013-03-14 |
| 1447522032 | Family Preservation Services, Inc. | Community/Behavioral Health | 165 Grove Street, Max Meadows, VA 24360 | 2012-01-30 |
| 1598081176 | Twin Quality Nursing Services, Inc | Respite Care | 14 West Main Street, Suite 218, Thomasville, NC 24360 | 2010-04-08 |
| 1598907941 | Family Preservation Services, Inc | Community/Behavioral Health | 213 School Road, Max Meadows, VA 24360 | 2009-04-01 |
| 1336445766 | Lead Mines Rescue Squad Inc | Ambulance | 1057 Fort Chiswell Rd, Max Meadows, VA 24360-3004 | 2011-02-02 |
| 1437386448 | Family Preservation Services, Inc | Community/Behavioral Health | 1 Pioneer Trl, Max Meadows, VA 24360-3313 | 2009-06-17 |
| 1558886523 | Helen Newhouse | Driver | 372 Adams Ln, Max Meadows, VA 24360-3484 | 2017-08-10 |
| 1730214347 | Vamc | Long Term Care Hospital | 477a Ivanhoe Rd, Max Meadows, VA 24360-3534 | 2007-02-22 |
| 1275097453 | Teresa Lynn Nelson | Non-emergency Medical Transport (VAN) | 3789 Major Grahams Rd, Max Meadows, VA 24360-3743 | 2019-01-22 |
| Find all providers in zip 24360 | ||||
| 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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| 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 | MAX MEADOWS |
| Zip Code | 24360 |
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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.