Organization Active NPI

Valley Infusion LLC

  • Community/Retail Pharmacy
  • Waynesboro, VA
National Provider Identifier
1033536883
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201004601 Issued in VA
Legal business name
VALLEY INFUSION LLC
Practice address
1115 W Main St
Waynesboro, VA 22980-4312
Phone
(540) 569-3463
Fax
(888) 801-3124
NPI assigned
Mar 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Preston Estep
Title
Owner/Pharmacist
Phone
(540) 569-3463

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 0201004601 VA Primary
Compounding Pharmacy 3336C0004X
Home Infusion Therapy Pharmacy 3336H0001X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

1115 W Main St
Waynesboro, VA 22980-4312

Mailing address

1115 W Main St
Waynesboro, VA 22980-4312
Phone (540) 569-3463

Other identifiers 2

IdentifierTypeStateIssuer
1033536883MedicaidVA
2145607OtherPK

Other names 1

  • Valley Vital Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150113000369 VA DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 0446574842 Practice locations: Waynesboro, VA

National Provider Directory

National Provider Directory

Locations

1115 W Main St
Waynesboro, VA 22980
Phone (540) 569-3463

250 N Poplar Ave
Ste C
Waynesboro, VA 22980
Phone (540) 569-3463

NPI Registry JSON

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1033536883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 W MAIN ST",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229804312",
            "telephone_number": "540-569-3463",
            "fax_number": "888-801-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 W MAIN ST",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229804312",
            "telephone_number": "540-569-3463",
            "fax_number": "888-801-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY INFUSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "ESTEP",
        "authorized_official_first_name": "PRESTON",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "540-569-3463"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004601",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033536883",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145607",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Vital Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waynesboro, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.