Organization Active NPI

Crouchs Pharmacy Inc

  • Community/Retail Pharmacy
  • Roanoke, VA
National Provider Identifier
1154418069
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201001751 Issued in VA
Legal business name
CROUCHS PHARMACY INC
Doing business as
Crouchs Pharmacy Inc
Practice address
7535 Williamson Rd
Roanoke, VA 24019-4301
Phone
(540) 366-3179
Fax
(540) 366-3226
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Authorized official

Name
Larry Hill, RPH
Title
Owner
Phone
(540) 366-3179

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 0201001751 VA Primary

Addresses

Primary practice location

7535 Williamson Rd
Roanoke, VA 24019-4301

Mailing address

7535 Williamson Rd
Roanoke, VA 24019-4301
Phone (540) 366-3179

Other identifiers 2

IdentifierTypeStateIssuer
2102651OtherPK
008512655MedicaidVA

Other names 1

  • CROUCHS PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

Locations

7535 Williamson Rd
Roanoke, VA 24019
Phone (540) 366-3179

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1154418069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7535 WILLIAMSON RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240194301",
            "telephone_number": "540-366-3179",
            "fax_number": "540-366-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7535 WILLIAMSON RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240194301",
            "telephone_number": "540-366-3179",
            "fax_number": "540-366-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROUCHS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-366-3179",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201001751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2102651",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008512655",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CROUCHS PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.