| NPI | 1417970880 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-07-25 |
| Last Updated | 2016-10-04 |
| Authorized Official | Ivan Yonce OWNER AND PHARMACIST Phone: 4348423208 |
| Mailing Address | Po Box 187 Fork Union, VA 23055-0187 United States Phone: (434) 842-3288 | Fax: (434) 842-1447 📍 View Map |
| Primary Practice Address | 4316 B James Madison Hwy Fork Union, VA 23055 United States Phone: (434) 842-3208 | Fax: (434) 842-1447 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | VA | 1417970880 | - |
| Other (non-Medicare) | - | 2102630 | PK |
| MEDICAID | VA | 8505357 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | VA | 0201000280 |
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About NPI 1417970880
Fork Union Pharmacy Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1417970880. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Fork Union, VA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-25. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1417970880?
NPI 1417970880 belongs to Fork Union Pharmacy Inc, a Pharmacy, Community/Retail Pharmacy in Fork Union, VA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1417970880 active?
The current status of NPI 1417970880 in the NPPES registry is Active. The record was last updated on 2016-10-04.
What specialty is NPI 1417970880?
NPI 1417970880 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 1417970880?
You can verify NPI 1417970880 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 1417970880?
The primary practice address on file for NPI 1417970880 is 4316 B James Madison Hwy, Fork Union, VA 23055. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1417970880 issued?
NPI 1417970880 was first issued (enumerated) on 2006-07-25. The NPPES record was last updated on 2016-10-04.
Practice Location Map
Fork Union Pharmacy Inc is located at 4316 B James Madison Hwy, Fork Union, 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 Fork Union 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 1417970880. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 0201000280 | VA |