Organization Active NPI

Crown RX Inc.

  • Long Term Care Pharmacy
  • Chester, VA
National Provider Identifier
1184662082
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
0201004073 Issued in VA
Legal business name
CROWN RX INC.
Practice address
4936 Lippingham Dr
Chester, VA 23831-6510
Phone
(804) 778-7288
Fax
(804) 777-9470
NPI assigned
Jun 3, 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
Mrs. Adetoyosi M Aganbi, RPH, MSC HOSP. ADMIN
Title
Manager
Phone
(804) 778-7288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 0201004073 VA Primary

Addresses

Primary practice location

4936 Lippingham Dr
Chester, VA 23831-6510

Mailing address

4936 Lippingham Dr
Chester, VA 23831-6510
Phone (804) 778-7288

Other identifiers 1

IdentifierTypeStateIssuer
4839188OtherVANCPDP

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184662082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4936 LIPPINGHAM DR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238316510",
            "telephone_number": "804-778-7288",
            "fax_number": "804-777-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4936 LIPPINGHAM DR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238316510",
            "telephone_number": "804-778-7288",
            "fax_number": "804-777-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN RX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGANBI",
        "authorized_official_first_name": "ADETOYOSI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "804-778-7288",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH, MSC HOSP. ADMIN"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "VA",
            "license": "0201004073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4839188",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, 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.