Mary Abigail Henley Vencill, PHARMD – Pharmacist

Key facts

NPI: 1043833809
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: 0202213304 (VA)
Practice address: 910 N Main St
Marion, VA 24354-4140
Phone: (276) 783-5761
NPI assigned: May 27, 2020
Sex: Female
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Pharmacy

State licenses

License	State	Type	Specialty
0202213304	VA	MD	Pharmacist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	0202213304	VA	Yes

Addresses

Primary practice location

910 N Main St
Marion, VA 24354-4140

Mailing address

910 N Main St
Marion, VA 24354-4140
Phone (276) 783-5761

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 27, 2020.

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1043833809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 N MAIN ST",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544140",
            "telephone_number": "276-783-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N MAIN ST",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544140",
            "telephone_number": "276-783-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENCILL",
        "first_name": "MARY",
        "middle_name": "ABIGAIL HENLEY",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202213304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, VA

All providers in Marion, VA · Pharmacist in Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.