Active NPI
Laurel Family Drug Inc
Doing business as Laurel Family Drug
- Community/Retail Pharmacy
- Damascus, VA
National Provider Identifier
1225049877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 0201003103
- Legal business name
- LAUREL FAMILY DRUG INC
- Doing business as
- Laurel Family Drug
- Practice address
- 204 S Shady Ave
Damascus, VA 24236 - Phone
- (276) 475-5022
- Fax
- (276) 475-3614
- NPI assigned
- Aug 10, 2006
- Last updated
- Jan 30, 2026
- 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
- Wesley Waters III, PHARMD
- Title
- Owner
- Phone
- (276) 475-5022
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 0201003103 | VA | Primary |
Addresses
Primary practice location
204 S Shady Ave
Damascus, VA 24236
Mailing address
PO Box 69
Damascus, VA 24236-0069
Phone (276) 475-5022
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8572135 | Medicaid | VA | |
| 2106035 | Other | PK | |
| 010073103 | Medicaid | VA |
Other names 1
- LAUREL FAMILY DRUG
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930069669 | VA | DME Supplier - Pharmacy | 1052529245 | Practice locations: Damascus, VA |
| O20121107000064 | VA | Part B Supplier - Mass Immunization (Roster Biller Only) | 1052529245 | Practice locations: Damascus, VA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Laurel Family Drug Inc | Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Accepts assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Damascus, VA
- NPI 1912165408
-
- Pharmacist
- Damascus, VA
- NPI 1700043650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769731200000",
"number": "1225049877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 69",
"city": "DAMASCUS",
"state": "VA",
"postal_code": "242360069",
"telephone_number": "276-475-5022",
"fax_number": "276-475-3614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 S SHADY AVE",
"city": "DAMASCUS",
"state": "VA",
"postal_code": "24236",
"telephone_number": "276-475-5022",
"fax_number": "276-475-3614"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAUREL FAMILY DRUG INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-10",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A",
"authorized_official_last_name": "WATERS",
"authorized_official_first_name": "WESLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "276-475-5022",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "VA",
"license": "0201003103",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8572135",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2106035",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010073103",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LAUREL FAMILY DRUG",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Damascus, VA
- David R. Tebbenkamp DDS PC
- Rebecca Hill Dearmond II
- Thomas Raymond Foltz Jr., D.C.
- H2 Rehabilitation Services of Virginia, LLC (H2 Health)
- K VA T Food Stores Inc (Food City Pharmacy)
- Kimberly A McCall, PHARMD
- Paul T Moore, DMD
- Shirley Kimberly Moretz, PMHNP
- St Charles Health Council Inc (Konnarock Family Health Center)
- St. Charles Health Council Inc (Holston Family Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.