Specialty Care RX LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

0201004783 Issued in VA

Legal business name

SPECIALTY CARE RX LLC

Practice address

111 Fashion Rd Ste Abc
Pounding Mill, VA 24637-1200

Phone

(276) 345-0284

Fax

(276) 345-0284

NPI assigned

Jun 13, 2017

Last updated

Apr 6, 2023By 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

Wesley V.a. Waters III

Title

Manager

Phone

(406) 531-5888

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Derek Wayne White, PHARMD

  • Pharmacist
  • Pounding Mill, VA
  • NPI 1851708523
  NPD

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1053841015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FASHION RD STE ABC",
            "city": "POUNDING MILL",
            "state": "VA",
            "postal_code": "246371200",
            "telephone_number": "276-345-0284",
            "fax_number": "276-345-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 FASHION RD STE ABC",
            "city": "POUNDING MILL",
            "state": "VA",
            "postal_code": "246371200",
            "telephone_number": "276-345-0284",
            "fax_number": "276-345-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY CARE RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "V.A.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "406-531-5888",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0201004783",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "VA",
            "license": "0201004783",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred A Sayers Jr., DC
• Lisa Singleton, FNP-C
• Kenneth C Slater, MD
• Southwest Transport
• Sidney Sparks, FNP
• Annalise Rae Stilwell, MSW
• Jerry Dwayne Sturgill, LPC
• Town Center Urgent Care LLC (Ultra Health Pounding Mill)
• Valerie J. Christian, O.D., P.C.
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2761)

• Pharmacy in Pounding Mill, VA
• Providers in Pounding Mill, VA by specialty
• Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.