Medical Arts Phcy of St Marys

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201002488 Issued in VA

Legal business name

MEDICAL ARTS PHCY OF ST MARYS

Practice address

280 Virginia Ave NE Ste 105
Norton, VA 24273-1539

Phone

(276) 679-7406

Fax

(276) 679-7406

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Carol Campbell, BS

Title

Pharmacist

Phone

(276) 679-7406

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MEDICAL ARTS PHCY OF ST MARYS Doing business as

Locations

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1184645145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 VIRGINIA AVE NE STE 105",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731539",
            "telephone_number": "276-679-7406",
            "fax_number": "276-679-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 VIRGINIA AVE NE STE 105",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731539",
            "telephone_number": "276-679-7406",
            "fax_number": "276-679-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ARTS PHCY OF ST MARYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "276-679-7406",
        "authorized_official_credential": "BS"
    },
    "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": "0201002488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008501092",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4827501",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL ARTS PHCY OF ST MARYS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelley Duncan Mayden, AOCNP
• Lindsey Province McCurry, NP
• Edgar Allen McGovern, D.O.
• Robert Earl Means Jr., MD
• Med-Trans Corporation
• Mediserve Medical Equipment of Kingsport, Inc.
• Adam L Middleton, MED
• David P Miller, MD
• Zachary D Miller, M.D.
• Muhammad Bilal Mirza, D.O.

• All providers in Norton, VA
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.