Organization Active NPI

Bristol Pharmacy, Inc

Doing business as Bristol Pharmacy

  • Community/Retail Pharmacy
  • Bristol, VA
National Provider Identifier
1083411748
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BRISTOL PHARMACY, INC
Doing business as
Bristol Pharmacy
Practice address
2373 Lee Hwy
Bristol, VA 24201-1605
Phone
(276) 591-2501
NPI assigned
Feb 28, 2025
Last updated
Feb 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Authorized official

Name
Miranda Cole, PHARMDNPI 1588326201
Title
Owner/Pic
Phone
(276) 345-6730

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2373 Lee Hwy
Bristol, VA 24201-1605

Mailing address

21587 Tranbarger Rd
Bristol, VA 24202-2709
Phone (276) 345-6730

Other names 1

  • Bristol Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250424000921 VA Part B Supplier - Pharmacy 6002332970 Practice locations: Bristol, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1083411748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21587 TRANBARGER RD",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242022709",
            "telephone_number": "276-345-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 LEE HWY",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242011605",
            "telephone_number": "276-591-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "276-345-6730",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bristol Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bristol, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.