Russell Fork Pharmacies, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201003911 Issued in VA

Legal business name

RUSSELL FORK PHARMACIES, INC.

Doing business as

Jones & Counts Pharmacy

Practice address

164 Haysi Main Street
Haysi, VA 24256

Phone

(276) 865-5560

Fax

(276) 865-5310

NPI assigned

Oct 12, 2006

Last updated

Jun 28, 2024By 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

Ervin Counts, RPHNPI 1073104543

Title

President

Phone

(276) 865-5560

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Jones & Counts Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in VA2 enrollments

Enrollment records 2

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.

• Ervin Counts, PHARMACIST

  • Pharmacist
  • Haysi, VA
  • NPI 1073104543
  NPD Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1184714230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "HAYSI",
            "state": "VA",
            "postal_code": "242560099",
            "telephone_number": "276-865-5560",
            "fax_number": "276-865-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 HAYSI MAIN STREET",
            "city": "HAYSI",
            "state": "VA",
            "postal_code": "24256",
            "telephone_number": "276-865-5560",
            "fax_number": "276-865-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL FORK PHARMACIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "COUNTS",
        "authorized_official_first_name": "ERVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-865-5560",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201003911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008520020",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4837463",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jones & Counts Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jobath Enterprises, Inc (Haysi Drug Center)
• William J McIntyre, MD
• Mountain Medical Supply Inc
• Mellisa Nichole Owens, COTA
• Sarah Jane Perrigan-Swiney, LPC
• Crystal Sulee Senter, FNP-C
• St Charles Health Council Inc (Haysi Clinic)
• Alexandria Victoria Stanley, PHARMD
• Ashley Stanley, FNP-BC
• Christon Paige Stiltner, NP

• Community/Retail Pharmacy in Haysi, VA
• Providers in Haysi, 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 Jun 28, 2024; 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.