Medical Village Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

3132 Issued in NC

Legal business name

MEDICAL VILLAGE PHARMACY, INC.

Practice address

815 Fairgrove Church Rd
Conover, NC 28613-8609

Phone

(828) 322-4505

Fax

(828) 322-2669

NPI assigned

May 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ronald James Shokes, RPH

Title

President

Phone

(828) 322-4505

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1083672059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 FAIRGROVE CHURCH RD",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286138609",
            "telephone_number": "828-322-4505",
            "fax_number": "828-322-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 FAIRGROVE CHURCH RD",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286138609",
            "telephone_number": "828-322-4505",
            "fax_number": "828-322-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL VILLAGE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "SHOKES",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-322-4505",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "3132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0185355",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Mateyunas
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• Jennifer McCandless, PHARMD
• Sloan Andrew Meadows, DDS
• Meaningful Connections Counseling, PLLC
• Medical Village Vital Care, Inc.
• Medipharm, Inc.
• Melanin Therapy and Wellness Practice
• Mollie Merritt, ATC/ L
• Douglas Michael, M.D.

• Community/Retail Pharmacy in Conover, NC
• Providers in Conover, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.