Amelia Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201003971 Issued in VA

Legal business name

AMELIA PHARMACY INC

Practice address

15412 Patrick Henry Hwy
Amelia Court House, VA 23002-4725

Phone

(804) 561-6885

Fax

(804) 561-6897

NPI assigned

Jun 15, 2005

Organization subpart

No

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

Authorized official

Name

Kimberly Hatcher Wright, PHARMACIST

Title

Pharmacy Director

Phone

(804) 492-4325

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in VA2 enrollments

Enrollment records 2

Tax ID family

Amelia Pharmacy Inc2 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.

• Amelia Pharmacy Inc

  dba Family Pharmacy Amelia Long Term Care

  • Long Term Care Pharmacy
  • Amelia Court House, VA
  • NPI 1528771045
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Dell Brown, PHARMD

  • Pharmacist
  • Glen Allen, VA
  • NPI 1053698001
  NPD
• Michael William Holcomb, PHARMACIST

  • Pharmacist
  • Amelia Court House, VA
  • NPI 1891290755
  NPD (past)
• Lee P Williams

  • Pharmacist
  • Amelia Court House, VA
  • NPI 1316081813
  NPD (past)

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1053316166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15412 PATRICK HENRY HWY",
            "city": "AMELIA COURT HOUSE",
            "state": "VA",
            "postal_code": "230024725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15412 PATRICK HENRY HWY",
            "city": "AMELIA COURT HOUSE",
            "state": "VA",
            "postal_code": "230024725",
            "telephone_number": "804-561-6885",
            "fax_number": "804-561-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMELIA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "HATCHER",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "804-492-4325",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0201003971",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201003971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FLU",
            "identifier": "00023F",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00231662",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010061377",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010062799",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amelia Ambulance Service Inc
• Amelia County Public Schools
• Amelia Family Dentistry Dre PLL
• Amelia Operating Realty, LLC (Wellsprings at Amelia)
• Amelia Pharmacy Inc (Family Pharmacy Amelia Long Term Care)
• Amelia Physical Therapy Inc
• Amelia, LLC (Amelia Nursing and Rehabilitation Center)
• Aml Operating LLC (Amelia Rehabilitation and Healthcare Center)
• Jourdan Lynn Anderson, OTD, OTR/L

• Community/Retail Pharmacy in Amelia Court House, VA
• Providers in Amelia Court House, 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 Jan 24, 2023; 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.