Organization Active NPI

Felts Drug Store Inc.

  • Pharmacist
  • Petersburg, VA
National Provider Identifier
1063445427
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0000379166 Issued in VA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
4808032OtherVANABP

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.