Precision Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201004699 Issued in VA

Legal business name

PRECISION PHARMACY LLC

Doing business as

GenX Pharmacy

Practice address

1101 Executive Blvd
Suite a
Chesapeake, VA 23320-3634

Phone

(757) 656-6560

Fax

(757) 410-1799

NPI assigned

Apr 14, 2016

Last updated

Jul 19, 2018By 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

Rebecca Craven

Title

Pic, Ao

Phone

(757) 656-6460

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• GenX Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1033563226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 EXECUTIVE BLVD",
            "address_2": "SUITE A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23320",
            "telephone_number": "757-656-6560",
            "fax_number": "757-410-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 EXECUTIVE BLVD",
            "address_2": "SUITE A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203634",
            "telephone_number": "757-656-6560",
            "fax_number": "757-410-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "CRAVEN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PIC, AO",
        "authorized_official_telephone_number": "757-656-6460"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033563226",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2164417",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GenX Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.