Greevers Drug Store Inc

Organization Active NPI Community/Retail Pharmacy · Chilhowie, VA

NPI 1083772115 · NPPES record last updated Dec 2, 2021

Key facts

NPI
1083772115
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
0201001127 (VA)
Legal business name
GREEVERS DRUG STORE INC
Practice address
119 E Lee Hwy
Chilhowie, VA 24319
Phone
(276) 646-3512
Fax
(276) 646-2342
NPI assigned
Dec 4, 2006
Organization subpart
No

Authorized official

Name
Brent Foster, BS PHARMACY
Title
Owner
Phone
(276) 646-3512

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20081114000687 VA Part B Supplier - Mass Immunization (Roster Biller Only) 9032279468 Practice locations: Chilhowie, VA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 0201001127 VA Yes

Addresses

Primary practice location

119 E Lee Hwy
Chilhowie, VA 24319

Mailing address

PO Box 556
Chilhowie, VA 24319-0556
Phone (276) 646-3512

Other identifiers

IdentifierTypeStateIssuer
2103101OtherPK
8501807MedicaidVA

Other names

  • GREEVERS DRUG STORE Doing business as

Other providers in Chilhowie, VA

All providers in Chilhowie, VA · Community/Retail Pharmacy in Virginia

Sources for this page

Verify at the official NPI Registry.