Employees Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201004820 Issued in VA

Legal business name

EMPLOYEES PHARMACY LLC

Practice address

4881 Cougar Trail Rd
Dublin, VA 24084-3918

Phone

(540) 674-4181

Fax

(540) 674-7391

NPI assigned

Oct 14, 2017

Organization subpart

No

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

Authorized official

Name

Ronda Thiessen

Title

Licensing Coordinator

Phone

(402) 753-2800

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Volvo Family Health Center Other name

Locations

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

{
    "created_epoch": "1507939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525305600000",
    "number": "1194236307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 N PARK AVE",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680254964",
            "telephone_number": "402-753-2800",
            "fax_number": "866-441-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 COUGAR TRAIL RD",
            "city": "DUBLIN",
            "state": "VA",
            "postal_code": "240843918",
            "telephone_number": "540-674-4181",
            "fax_number": "540-674-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPLOYEES PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-14",
        "last_updated": "2018-05-03",
        "status": "A",
        "authorized_official_last_name": "THIESSEN",
        "authorized_official_first_name": "RONDA",
        "authorized_official_title_or_position": "LICENSING COORDINATOR",
        "authorized_official_telephone_number": "402-753-2800"
    },
    "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": "0201004820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2172235",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Volvo Family Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amy L Doty, FNP-BC
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• Linda Taylor Ely, RN, CNS
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• Shan R Fairbanks, D.O.
• Faith Love and PT Inc
• Jennifer Sue Farthing, LPC
• Marlene Flores, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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.