Active NPI
Gund Pharmacy LLC
- Pharmacy
- Shenandoah, VA
National Provider Identifier
1013090133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 0201002475
- Legal business name
- GUND PHARMACY LLC
- Practice address
- 420 S Third Street
Shenandoah, VA 22849 - Phone
- (540) 652-8619
- Fax
- (540) 652-4401
- NPI assigned
- Oct 23, 2006
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | VA | ||
| Pharmacy | 333600000X | 0201002475 | VA | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
420 S Third Street
Shenandoah, VA 22849
Mailing address
420 S Third Street
Shenandoah, VA 22849
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4809565 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 9102752 | Other | VA | MEDICAID DME |
| 8504873 | Medicaid | VA |
Other names 1
- SHENANDOAH PHARMACY
National Provider Directory
National Provider DirectoryLocations
420 S 3rd St
Shenandoah, VA 22849
Phone (540) 652-8619
NPI Registry JSON
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "4809565",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID DME",
"identifier": "9102752",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8504873",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SHENANDOAH PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Shenandoah, VA
Sources for this page
- 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.