Organization Active NPI

Family Discount Pharmacy, Inc.

Doing business as Family Pharmacy 1

  • Pharmacy
  • Bassett, VA
National Provider Identifier
1174556294
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
0201003494 Issued in VA
Legal business name
FAMILY DISCOUNT PHARMACY, INC.
Doing business as
Family Pharmacy 1
Practice address
335 Riverside Dr
Bassett, VA 24055-4245
Phone
(276) 627-0536
Fax
(276) 627-6074
NPI assigned
Jul 9, 2006
Last updated
Oct 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Mr. Jerry Ray Harper Jr., RPH.
Title
President, Head Pharmacist
Phone
(276) 627-0536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 0201003494 VA Primary

Addresses

Primary practice location

335 Riverside Dr
Bassett, VA 24055-4245

Mailing address

PO Box 477
Stanleytown, VA 24168-0477
Phone (276) 627-0536

Other identifiers 1

IdentifierTypeStateIssuer
4832641OtherVANABP

Other names 1

  • FAMILY PHARMACY 1 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Discount Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

335 Riverside Dr
Bassett, VA 24055
Phone (276) 627-0536

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1174556294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 477",
            "city": "STANLEYTOWN",
            "state": "VA",
            "postal_code": "241680477",
            "telephone_number": "276-627-0536",
            "fax_number": "276-627-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 RIVERSIDE DR",
            "city": "BASSETT",
            "state": "VA",
            "postal_code": "240554245",
            "telephone_number": "276-627-0536",
            "fax_number": "276-627-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DISCOUNT PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT, HEAD PHARMACIST",
        "authorized_official_telephone_number": "276-627-0536",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0201003494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4832641",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY PHARMACY 1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bassett, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.