| NPI | 1366541229 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-09-21 |
| Last Updated | 2016-05-05 |
| Authorized Official | Leanne Vanmeter PRESIDENT Phone: 2769356455 |
| Mailing Address | 1503 Slate Creek Rd Grundy, VA 24614-6974 United States Phone: (276) 935-6455 | Fax: (276) 935-2981 📍 View Map |
| Primary Practice Address | 1503 Slate Creek Rd Grundy, VA 24614-6974 United States Phone: (276) 935-6455 | Fax: (276) 935-2981 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | - | 2104298 | PK |
| MEDICAID | WV | 0144027000 | - |
| MEDICAID | KY | 54019989 | - |
| MEDICAID | VA | 8515476 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | VA | 0201002298 |
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About NPI 1366541229
Medical Park Pharmacy Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1366541229. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Grundy, VA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-09-21. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1366541229?
NPI 1366541229 belongs to Medical Park Pharmacy Inc, a Pharmacy, Community/Retail Pharmacy in Grundy, VA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1366541229 active?
The current status of NPI 1366541229 in the NPPES registry is Active. The record was last updated on 2016-05-05.
What specialty is NPI 1366541229?
NPI 1366541229 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 1366541229?
You can verify NPI 1366541229 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 1366541229?
The primary practice address on file for NPI 1366541229 is 1503 Slate Creek Rd, Grundy, VA 24614-6974. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1366541229 issued?
NPI 1366541229 was first issued (enumerated) on 2006-09-21. The NPPES record was last updated on 2016-05-05.
Practice Location Map
Medical Park Pharmacy Inc is located at 1503 Slate Creek Rd, Grundy, 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 Medical Park 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 1366541229. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 0201002298 | VA |