Gund Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

0201002475 Issued in VA

Legal business name

GUND PHARMACY LLC

Doing business as

Shenandoah Pharmacy

Practice address

420 S Third Street
Shenandoah, VA 22849

Phone

(540) 652-8619

Fax

(540) 652-4401

NPI assigned

Oct 23, 2006

Last updated

Nov 4, 2008By 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

Michael Gund, RPH

Title

Owner Pic

Phone

(540) 652-8619

Specialties & licenses 3

Addresses

Other names 1

• SHENANDOAH PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1013090133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S THIRD STREET",
            "city": "SHENANDOAH",
            "state": "VA",
            "postal_code": "22849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S THIRD STREET",
            "city": "SHENANDOAH",
            "state": "VA",
            "postal_code": "22849",
            "telephone_number": "540-652-8619",
            "fax_number": "540-652-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUND PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "GUND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER PIC",
        "authorized_official_telephone_number": "540-652-8619",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0201002475",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHENANDOAH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Montgomery Brothers, M.D.
• Corey Katheleen Carlson, ATC
• Lindsey McKayla Hensley
• Danika Lee Johnson, IBCLC, RLC
• Heather Rene Lantz, MA, CCC-SLP
• Page Memorial Hospital (Page Shenandoah Health Center)
• Page Memorial Hospital Inc (R.M Brothers, MD)

• Pharmacy in Shenandoah, VA
• Providers in Shenandoah, VA by specialty
• Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.