Unchained RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201003441 Issued in VA

Legal business name

UNCHAINED RX INC

Doing business as

Buena Vista Family Pharmacy

Practice address

2263 Magnolia Ave
Buena Vista, VA 24416-3121

Phone

(540) 261-2896

Fax

(540) 261-1635

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Brian MorrisNPI 1982104253

Title

President

Phone

(540) 261-2896

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Buena Vista Family Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in VA3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Morris, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Buena Vista, VA
  • NPI 1982104253
  NPD Authorized official
• Jerry Mason Vanbrocklin

  • Pharmacist
  • Buena Vista, VA
  • NPI 1093086381
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1215049127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2263 MAGNOLIA AVE",
            "city": "BUENA VISTA",
            "state": "VA",
            "postal_code": "244163121",
            "telephone_number": "540-261-2896",
            "fax_number": "540-261-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2263 MAGNOLIA AVE",
            "city": "BUENA VISTA",
            "state": "VA",
            "postal_code": "244163121",
            "telephone_number": "540-261-2896",
            "fax_number": "540-261-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNCHAINED RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-261-2896"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201003441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215049127",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149717",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buena Vista Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Claire Wallace, M.D.
• George C. Wortley, M.D.

• Community/Retail Pharmacy in Buena Vista, VA
• Providers in Buena Vista, 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 Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.