Ernie'S Drug, Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

License

0201002335 Issued in VA

Legal business name

ERNIE'S DRUG, INC.

Practice address

16408 Wise St
St. Paul, VA 24283

Phone

(276) 762-5800

Fax

(276) 762-0213

NPI assigned

Mar 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ernie Lee Keith, RPH

Title

Pharmacist

Phone

(276) 762-5800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1114995487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16408 WISE ST",
            "city": "ST. PAUL",
            "state": "VA",
            "postal_code": "24283",
            "telephone_number": "276-762-5800",
            "fax_number": "276-762-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16408 WISE ST",
            "city": "ST. PAUL",
            "state": "VA",
            "postal_code": "24283",
            "telephone_number": "276-762-5800",
            "fax_number": "276-762-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNIE'S DRUG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "ERNIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "276-762-5800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0201002335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.