Active NPI
Valley Infusion LLC
- Community/Retail Pharmacy
- Waynesboro, VA
National Provider Identifier
1033536883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 0201004601
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033536883 | Medicaid | VA | |
| 2145607 | Other | PK |
Other names 1
- Valley Vital Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150113000369 | VA | DME Supplier - Pharmacy | 0446574842 | Practice locations: Waynesboro, VA |
National Provider Directory
National Provider DirectoryLocations
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.