Farmville Family Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

FARMVILLE FAMILY PHARMACY, INC.

Doing business as

Family Pharmacy Farmville

Practice address

1538 South Main Street
Farmville, VA 23901

Phone

(434) 394-0113

Fax

(434) 394-0143

NPI assigned

Nov 21, 2019

Last updated

Dec 7, 2021By 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

Kimberly H Wright, RPHNPI 1558496091

Title

Pharmacy Director

Phone

(434) 394-0113

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Pharmacy Farmville Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA2 enrollments

Enrollment records 2

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, and the practitioner matching its NPPES authorized official.

• Kimberly Hatcher Wright, RPH

  • Pharmacist
  • Cumberland, VA
  • NPI 1558496091
  NPD Authorized official
• Sally Collmann Bass, RPH

  • Pharmacist
  • Farmville, VA
  • NPI 1730779349
  NPD

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1245876531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 S MAIN STREET",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "23901",
            "telephone_number": "434-394-0113",
            "fax_number": "434-394-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 SOUTH MAIN STREET",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "23901",
            "telephone_number": "434-394-0113",
            "fax_number": "434-394-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMVILLE FAMILY PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2021-12-07",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "434-394-0113",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245876531",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "VPN",
            "affiliation": "N",
            "address_1": "1538 South Main Street",
            "city": "Farmville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "23901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Family Pharmacy Farmville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Pharmacy Farmville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela Evans, MSN,FNP
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• Farmville Family Chiropractic, PC
• Farmville Health & Rehab Center, LLC (Farmville Health & Rehab Center)
• Farmville Internal Medicine, PC
• Farmville Medical Imaging, PLC
• Farmville Pharmacy Inc
• Farmville Rehabilitation and Healthcare Center, LLC

• Community/Retail Pharmacy in Farmville, VA
• Providers in Farmville, 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 Dec 7, 2021; 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.