Claypool Hill Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

0201004017 Issued in VA

Legal business name

CLAYPOOL HILL PHARMACY

Practice address

12252 Govenor George C Peery Hwy
Pounding Mill, VA 24637

Phone

(276) 963-3502

Fax

(276) 963-3757

NPI assigned

Sep 14, 2006

Last updated

Nov 14, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shannon McGraw, PHARM DNPI 1184898777

Title

Owner

Phone

(276) 963-3502

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA2 enrollments

Enrollment records 2

Tax ID family

Claypool Hill Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Claypool Hill Pharmacy

  • Long Term Care Pharmacy
  • Pounding Mill, VA
  • NPI 1346770856
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shannon Rose McGraw, PHARMD

  • Pharmacist
  • Pounding Mill, VA
  • NPI 1184898777
  NPD Authorized official
• Jody Dow Fuller, RPH

  • Pharmacist
  • Pounding Mill, VA
  • NPI 1275707705
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1003911884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690",
            "city": "POUNDING MILL",
            "state": "VA",
            "postal_code": "246370690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12252 GOVENOR GEORGE C PEERY HWY",
            "city": "POUNDING MILL",
            "state": "VA",
            "postal_code": "24637",
            "telephone_number": "276-963-3502",
            "fax_number": "276-963-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYPOOL HILL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "MCGRAW",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-963-3502",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0201004017",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004705",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4838580",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audra Beth Brown, LPC
• Amy Lynn Burks, FNP
• Kimberly Dawn Carroll, MA
• Valerie Jean Christian, OD
• Annie Catherine Clark, LPC
• Claypool Hill Pharmacy
• Clinch Professional Physician Services LLC (Clinch Valley Urgent Care)
• Cline Eyecare, Inc
• Kerry Keith Cline, O.D.
• Courtney Cole-Hackworth

• Pharmacy in Pounding Mill, VA
• Providers in Pounding Mill, VA by specialty
• Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.