Organization Active NPI

Rose Hill Pharmacy

  • Community/Retail Pharmacy
  • Rose Hill, VA
National Provider Identifier
1083713945
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201003914 Issued in VA
Legal business name
ROSE HILL PHARMACY
Doing business as
Rose Hill Pharmacy
Practice address
5462 Dr Thomas Walker Rd
Rose Hill, VA 24281-8360
Phone
(276) 445-5026
Fax
(276) 445-5029
NPI assigned
Sep 21, 2006
Last updated
Feb 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Travis Lawson, PHARMDNPI 1386632453
Title
President Pic Owner
Phone
(276) 445-5026

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 0201003914 VA Primary

Addresses

Primary practice location

5462 Dr Thomas Walker Rd
Rose Hill, VA 24281-8360

Mailing address

PO Box 220
Rose Hill, VA 24281-0220
Phone (276) 445-5026

Other identifiers 4

IdentifierTypeStateIssuer
009999612MedicaidVA
2105377OtherPK
54006150MedicaidKY
008520186MedicaidVA

Other names 1

  • ROSE HILL PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930080679 VA DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 2567678014 Practice locations: Rose Hill, VA
O20150128000765 VA Part B Supplier - Mass Immunization (Roster Biller Only) 2567678014 Practice locations: Rose Hill, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Rose Hill Pharmacy5462 Dr Thomas Walker Rd, Rose Hill, VA 24281-8360(276) 445-5026 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies|Nebulizer Equipment and/or Supplies Does not accept assignmentParticipating since Apr 11, 2003

National Provider Directory

National Provider Directory

Locations

5462 Dr Thomas Walker Rd
Rose Hill, VA 24281
Phone (276) 445-5026

Practitioners & affiliated clinicians

Practitioners 2

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1083713945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "ROSE HILL",
            "state": "VA",
            "postal_code": "242810220",
            "telephone_number": "276-445-5026",
            "fax_number": "276-445-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5462 DR THOMAS WALKER RD",
            "city": "ROSE HILL",
            "state": "VA",
            "postal_code": "242818360",
            "telephone_number": "276-445-5026",
            "fax_number": "276-445-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE HILL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "PRESIDENT PIC OWNER",
        "authorized_official_telephone_number": "276-445-5026",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201003914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009999612",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2105377",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54006150",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008520186",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROSE HILL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rose Hill, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.