| NPI | 1174620918 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-09-20 |
| Last Updated | 2020-11-02 |
| Authorized Official | Scott Cole PHARMACIST/OWNER/PRESIDENT Phone: 2769887977 |
| Mailing Address | Po Box 664 Tazewell, VA 24651-0664 United States Phone: (276) 988-7977 | Fax: (276) 988-1098 📍 View Map |
| Primary Practice Address | 1592 Fincastle Tpke Tazewell, VA 24651-6167 United States Phone: (276) 988-7977 | Fax: (276) 988-7469 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | - | 2106896 | PK |
| MEDICAID | VA | 8507473 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | VA | 0201003318 |
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About NPI 1174620918
Olde Virginia Pharmacy, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1174620918. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Tazewell, VA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-09-20. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1174620918?
NPI 1174620918 belongs to Olde Virginia Pharmacy, Inc., a Pharmacy, Community/Retail Pharmacy in Tazewell, VA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1174620918 active?
The current status of NPI 1174620918 in the NPPES registry is Active. The record was last updated on 2020-11-02.
What specialty is NPI 1174620918?
NPI 1174620918 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1174620918?
You can verify NPI 1174620918 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1174620918?
The primary practice address on file for NPI 1174620918 is 1592 Fincastle Tpke, Tazewell, VA 24651-6167. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1174620918 issued?
NPI 1174620918 was first issued (enumerated) on 2006-09-20. The NPPES record was last updated on 2020-11-02.
Practice Location Map
Olde Virginia Pharmacy, Inc. is located at 1592 Fincastle Tpke, Tazewell, VA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Olde Virginia Pharmacy, Inc.. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1174620918. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 0201003318 | VA |