Organization Active NPI

Battletown Pharmacy, Inc.

Doing business as Battletown Pharmacy

  • Community/Retail Pharmacy
  • Berryville, VA
National Provider Identifier
1073855094
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201004539 Issued in VA
Legal business name
BATTLETOWN PHARMACY, INC.
Doing business as
Battletown Pharmacy
Practice address
33 W Main St
Suite a
Berryville, VA 22611-1340
Phone
(540) 955-0500
Fax
(540) 955-0515
NPI assigned
Mar 18, 2013
Last updated
Apr 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Authorized official

Name
Patricia Louise White, BS PHARMACY
Title
President/Pharmacist-in-Charge
Phone
(540) 686-5485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 0201004539 VA Primary

Addresses

Primary practice location

33 W Main St
Suite a
Berryville, VA 22611-1340

Mailing address

33 W Main St
Suite a
Berryville, VA 22611-1340
Phone (540) 955-0500

Other identifiers 2

IdentifierTypeStateIssuer
1073855094MedicaidVA
6939960001OtherVAMEDICARE PTAN

Other names 1

  • Battletown Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

33 W Main St
#A
Berryville, VA 22611
Phone (540) 955-0500

NPI Registry JSON

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1073855094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 W MAIN ST",
            "address_2": "SUITE A",
            "city": "BERRYVILLE",
            "state": "VA",
            "postal_code": "226111340",
            "telephone_number": "540-955-0500",
            "fax_number": "540-955-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 W MAIN ST",
            "address_2": "SUITE A",
            "city": "BERRYVILLE",
            "state": "VA",
            "postal_code": "226111340",
            "telephone_number": "540-955-0500",
            "fax_number": "540-955-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATTLETOWN PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "540-686-5485",
        "authorized_official_credential": "BS PHARMACY"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073855094",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "6939960001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Battletown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berryville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.