Active NPI
Mao Pharmacy Inc
- Long Term Care Pharmacy
- Richmond, VA
National Provider Identifier
1215068531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 0201003985
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215068531 | Medicaid | VA | |
| 2105501 | Other | PK |
Other names 1
- Westwood Pharmacy Clinical Services
National Provider Directory
National Provider Directory- Tax ID family
- Mao Pharmacy Inc
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Chesapeake, VA
- NPI 1053770727
-
- Long Term Care Pharmacy
- Richmond, VA
- NPI 1134769888
-
- Institutional Pharmacy
- Henrico, VA
- NPI 1215726369
-
- Long Term Care Pharmacy
- Virginia Beach, VA
- NPI 1245912823
-
- Long Term Care Pharmacy
- Sterling, VA
- NPI 1346022175
-
- Long Term Care Pharmacy
- Richmond, VA
- NPI 1952788135
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.
-
- Pharmacist
- Richmond, VA
- NPI 1154101848
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.