Organization Active NPI

Prophar Corp.

Doing business as rx4less

  • Community/Retail Pharmacy
  • Suffolk, VA
National Provider Identifier
1174537427
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201003835 Issued in VA
Legal business name
PROPHAR CORP.
Doing business as
rx4less
Practice address
948 N Main St
Suffolk, VA 23434-4315
Phone
(757) 539-7075
Fax
(757) 539-7592
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Mr. Steven Roy Golombek, RPH
Title
Owner/Chief Pharmacist
Phone
(757) 539-7075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 0201003835 VA Primary

Addresses

Primary practice location

948 N Main St
Suffolk, VA 23434-4315

Mailing address

948 N Main St
Suffolk, VA 23434-4315
Phone (757) 539-7075

Other identifiers 1

IdentifierTypeStateIssuer
008519714MedicaidVA

Other names 1

  • rx4less Doing business as

National Provider Directory

National Provider Directory

Locations

948 N Main St
Suffolk, VA 23434
Phone (757) 539-7075

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1174537427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 N MAIN ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344315",
            "telephone_number": "757-539-7075",
            "fax_number": "757-539-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 N MAIN ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344315",
            "telephone_number": "757-539-7075",
            "fax_number": "757-539-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROPHAR CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "GOLOMBEK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "OWNER/CHIEF PHARMACIST",
        "authorized_official_telephone_number": "757-539-7075",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201003835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008519714",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "rx4less",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suffolk, VA

Sources for this page

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