Organization Active NPI

True Blue Pharmacy Inc

  • Community/Retail Pharmacy
  • Bastian, VA
National Provider Identifier
1144804535
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
TRUE BLUE PHARMACY INC
Practice address
12235 Grapefield Rd Ste 1
Bastian, VA 24314-4622
Phone
(276) 688-2424
NPI assigned
May 11, 2021
Last updated
May 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Authorized official

Name
Dr. Sandra Phillippi Clarke, PHARMDNPI 1982658209
Title
Owner
Phone
(276) 620-8352

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 NU Primary

Addresses

Primary practice location

12235 Grapefield Rd Ste 1
Bastian, VA 24314-4622

Mailing address

12235 Grapefield Rd Ste 1
Bastian, VA 24314-4622
Phone (276) 688-2424

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221024000134 VA Part B Supplier - Pharmacy 1254707821 Practice locations: Bastian, VA

National Provider Directory

National Provider Directory

Locations

12235 Grapefield Rd
Unit 1
Bastian, VA 24314
Phone (276) 688-2424

Practitioners & affiliated clinicians

Practitioners 3

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": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1144804535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12235 GRAPEFIELD RD STE 1",
            "city": "BASTIAN",
            "state": "VA",
            "postal_code": "243144622",
            "telephone_number": "276-688-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12235 GRAPEFIELD RD STE 1",
            "city": "BASTIAN",
            "state": "VA",
            "postal_code": "243144622",
            "telephone_number": "276-688-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE BLUE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "PHILLIPPI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-620-8352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.