Buntings Specialty Care RX

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BUNTINGS SPECIALTY CARE RX

Doing business as

Bunting's & Northside Pharmacy
Buntings & Northside Pharmacy

Practice address

1883 Euclid Ave
Bristol, VA 24201-3605

Phone

(276) 466-3600

Fax

(276) 466-3578

NPI assigned

Jan 10, 2023

Last updated

Jun 6, 2023By 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

Dr. Wesley Vernon Arthur Waters III, PHARMD

Title

Owner

Phone

(276) 466-3600

Specialties & licenses 2

Addresses

Other names 2

• Bunting's & Northside Pharmacy Doing business as
• Buntings & Northside Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1194439554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 EUCLID AVE",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013605",
            "telephone_number": "276-466-3600",
            "fax_number": "276-466-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1883 EUCLID AVE",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013605",
            "telephone_number": "276-466-3600",
            "fax_number": "276-466-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUNTINGS SPECIALTY CARE RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "VERNON ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-466-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bunting's & Northside Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Buntings & Northside Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jordan M Brooks, PA-C
• Stephanie Lynese Brooks, LCSW
• Jessica P. Brown, M.S. CCC-SLP
• Amy Browning, COTA
• Buntings Drug Center LLC (Buntings and Northside Drug Center)
• Gail L Burd, OTR
• Kara Leann Bush, PHARMD
• Katharine Grayson-Reynolds Byrd, ED.S.
• Michael Cagle, DDS
• James Patrick Callanan, O.D.

• Community/Retail Pharmacy in Bristol, VA
• Providers in Bristol, 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 6, 2023; 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.