Blue Devil Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BLUE DEVIL DRUG INC

Practice address

19408 Hwy 58
Castlewood, VA 24224

Phone

(276) 762-5959

Fax

(276) 762-5755

NPI assigned

Nov 18, 2013

Last updated

Nov 18, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kara Leann Bush, PHARMD

Title

Pic

Phone

(276) 202-5505

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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.

• Laurin Keene, PHARM D

  • Pharmacist
  • Castlewood, VA
  • NPI 1902528995
  NPD (past)

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1174953855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "CASTLEWOOD",
            "state": "VA",
            "postal_code": "242240158",
            "telephone_number": "276-762-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19408 HWY 58",
            "city": "CASTLEWOOD",
            "state": "VA",
            "postal_code": "24224",
            "telephone_number": "276-762-5959",
            "fax_number": "276-762-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE DEVIL DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "LEANN",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "276-202-5505",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Bower, FNP
• Castlewood Fire and Rescue, Inc.
• Kaitlin Clay
• Jeffrey Mark Copas, DDS
• Family Preservation Services, Inc

• Community/Retail Pharmacy in Castlewood, VA
• Providers in Castlewood, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.