Temple Ave Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

TEMPLE AVE PHARMACY

Practice address

2000 Snead Ave
Colonial Heights, VA 23834-2428

Phone

(804) 526-1000

NPI assigned

Nov 15, 2018

Organization subpart

No

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

Authorized official

Name

Scott Kim

Title

Pharmacist in Charge

Phone

(804) 526-1000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Tax ID family

Temple Ave Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Temple Ave Pharmacy

  • Long Term Care Pharmacy
  • Colonial Heights, VA
  • NPI 1093352353
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Temple Ave Pharmacy

  • Long Term Care Pharmacy
  • Colonial Heights, VA
  • NPI 1093352353
  NPPES parent name

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1043789449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SNEAD AVE",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342428",
            "telephone_number": "804-526-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SNEAD AVE",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342428",
            "telephone_number": "804-526-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLE AVE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-15",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "804-526-1000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gautam Talwar, RPH
• Ruby R Tan, M.D.
• Target
• Keyosha Takia Taylor, PMHNP
• Samantha N Taylor, NP-C
• Temple Ave Pharmacy
• Alison Deloris Terry
• Katrina Anne Thatch, DDS
• The Independent Capacity System, Inc.
• The Restora Psychiatry LLC

• Community/Retail Pharmacy in Colonial Heights, VA
• Providers in Colonial Heights, 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 Nov 15, 2018; 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.