Organization Active NPI

Mao Pharmacy Inc

  • Long Term Care Pharmacy
  • Richmond, VA
National Provider Identifier
1215068531
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
0201003985 Issued in VA
Legal business name
MAO PHARMACY INC
Practice address
5823 Patterson Ave
Ste a
Richmond, VA 23226-2536
Phone
(804) 288-3620
Fax
(804) 288-1508
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Authorized official

Name
Mark Oley, RPH
Title
Ceo and President
Phone
(804) 288-1933

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 0201003985 VA Primary
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

5823 Patterson Ave
Ste a
Richmond, VA 23226-2536

Mailing address

8905 Three Chopt Rd
Henrico, VA 23229-4663
Phone (804) 288-3620

Other identifiers 2

IdentifierTypeStateIssuer
1215068531MedicaidVA
2105501OtherPK

Other names 1

  • Westwood Pharmacy Clinical Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mao Pharmacy Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5823 Patterson Ave
Ste A
Richmond, VA 23226
Phone (804) 288-3620

8905 Three Chopt Rd
Richmond, VA 23229
Phone (804) 288-3620

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1215068531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8905 THREE CHOPT RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232294663",
            "telephone_number": "804-288-3620",
            "fax_number": "804-288-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5823 PATTERSON AVE",
            "address_2": "STE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262536",
            "telephone_number": "804-288-3620",
            "fax_number": "804-288-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAO PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "OLEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO AND PRESIDENT",
        "authorized_official_telephone_number": "804-288-1933",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "VA",
            "license": "0201003985",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215068531",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2105501",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westwood Pharmacy Clinical Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Westwood Pharmacy Clinical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.