Active NPI
Ervin Counts, PHARMACIST
- Pharmacist
- Haysi, VA
National Provider Identifier
1073104543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202010366
- Practice address
- 164 Haysi Main Street
Haysi, VA 24256 - Phone
- (276) 865-5560
- Fax
- (276) 865-5310
- NPI assigned
- Jan 28, 2021
- Last updated
- Jun 28, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202010366 | VA | Primary |
Addresses
Primary practice location
164 Haysi Main Street
Haysi, VA 24256
Mailing address
PO Box 147
Birchleaf, VA 24220-0147
Phone (276) 865-0204
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0202010366 | Other | VA | BOARD OF PHARMACY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202010366 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Russell Fork Pharmacies, Inc. | Current | Accepting new patients | |
| Wytheville Pharmacy LLC | Current | Accepting new patients | |
| New River Pharmacy LLC | Current | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Counts Family Pharmacy
- Community/Retail Pharmacy
- Blacksburg, VA
- NPI 1972968279
-
dba Jones & Counts Pharmacy
- Community/Retail Pharmacy
- Haysi, VA
- NPI 1184714230
-
dba Counts Family Pharmacy
- Community/Retail Pharmacy
- Wytheville, VA
- NPI 1922889807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1073104543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 147",
"city": "BIRCHLEAF",
"state": "VA",
"postal_code": "242200147",
"telephone_number": "276-865-0204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 HAYSI MAIN STREET",
"city": "HAYSI",
"state": "VA",
"postal_code": "24256",
"telephone_number": "276-865-5560",
"fax_number": "276-865-5310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUNTS",
"first_name": "ERVIN",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-28",
"last_updated": "2024-06-28",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202010366",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "0202010366",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Haysi, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.