Renew RX LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

0201004310 Issued in VA

Legal business name

RENEW RX LLC

Doing business as

Renew Rx

Practice address

9555 Kings Charter Dr Ste D
Ashland, VA 23005-7994

Phone

(804) 550-5143

Fax

(804) 550-5173

NPI assigned

Oct 1, 2009

Last updated

Nov 15, 2011By 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

Rodney Burton

Title

Chief Operating Officer

Phone

(888) 513-5444

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Renew Rx Doing business as

Locations

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1013241546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9962 BROOK RD",
            "address_2": "#601",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230596501",
            "telephone_number": "888-513-5444",
            "fax_number": "804-550-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 KINGS CHARTER DR STE D",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230057994",
            "telephone_number": "804-550-5143",
            "fax_number": "804-550-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-01",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "888-513-5444"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "VA",
            "license": "0201004310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4841892",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renew Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dana Rebuck, OTR/L
• Kathy Redfearn, LCSW
• Rediclinic LLC
• Reibach Resiliency Counseling LLC
• Remedi Seniorcare of Virginia LLC (Remedi SeniorCare)
• Carla Marie Renner, LCSW
• Kimberly Revis
• Revive Wellness Center
• Adah Katherine Rey, LCSW
• Riccobene & Associates CC, DDS, PC (Commonwealth Dentistry - Ashland)

• Long Term Care Pharmacy in Ashland, VA
• Providers in Ashland, VA by specialty
• Long Term Care Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.