Active NPI
Felts Drug Store Inc.
- Pharmacist
- Petersburg, VA
National Provider Identifier
1063445427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0000379166
- Legal business name
- FELTS DRUG STORE INC.
- Practice address
- 2200 W Washington St
Petersburg, VA 23803-2758 - Phone
- (804) 733-4403
- Fax
- (804) 861-9460
- NPI assigned
- Jul 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronald C Abernathy, RPH
- Title
- Owner/Pharmacist
- Phone
- (804) 733-4403
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0000379166 | VA | Primary |
Addresses
Primary practice location
2200 W Washington St
Petersburg, VA 23803-2758
Mailing address
2200 W Washington St
Petersburg, VA 23803-2758
Phone (804) 733-4403
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4808032 | Other | VA | NABP |
National Provider Directory
National Provider DirectoryLocations
2200 W Washington St
Petersburg, VA 23803
Phone (804) 733-4403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1063445427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 W WASHINGTON ST",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238032758",
"telephone_number": "804-733-4403",
"fax_number": "804-861-9460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 W WASHINGTON ST",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238032758",
"telephone_number": "804-733-4403",
"fax_number": "804-861-9460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FELTS DRUG STORE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ABERNATHY",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "804-733-4403",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "VA",
"license": "0000379166",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "4808032",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Petersburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.