NPIMap

Organization Active NPI

Baxters Drug Store

  • Community/Retail Pharmacy
  • McKenney, VA
National Provider Identifier
1174627368
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201002824 Issued in VA
Legal business name
BAXTERS DRUG STORE
Practice address
10359 Doyle Blvd
McKenney, VA 23872-0180
Phone
(804) 478-4771
NPI assigned
Sep 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Emmett Francis BaxterNPI 1871697060
Title
Owner
Phone
(804) 478-4771

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 0201002824 VA Primary

Addresses

Primary practice location

10359 Doyle Blvd
McKenney, VA 23872-0180

Mailing address

PO Box 180
McKenney, VA 23872-0180
Phone (804) 478-4771

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174627368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180",
            "city": "MCKENNEY",
            "state": "VA",
            "postal_code": "238720180",
            "telephone_number": "804-478-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10359 DOYLE BLVD",
            "city": "MCKENNEY",
            "state": "VA",
            "postal_code": "238720180",
            "telephone_number": "804-478-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAXTERS DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAXTER",
        "authorized_official_first_name": "EMMETT",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-478-4771"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201002824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKenney, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.