Organization Active NPI

Robertson Drug Co Inc

  • Community/Retail Pharmacy
  • Lynchburg, VA
National Provider Identifier
1255413035
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201000723 Issued in VA
Legal business name
ROBERTSON DRUG CO INC
Doing business as
ROBERTSON DRUG CO INC
Practice address
6109 Fort Ave
Lynchburg, VA 24502-1933
Phone
(434) 239-2621
Fax
(434) 239-3050
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Authorized official

Name
Michael Robertson, RPHNPI 1467545939
Title
Pres
Phone
(434) 239-2621

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 0201000723 VA Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

6109 Fort Ave
Lynchburg, VA 24502-1933

Mailing address

6109 Fort Ave
Lynchburg, VA 24502-1933
Phone (434) 239-2621

Other identifiers 2

IdentifierTypeStateIssuer
2102677OtherPK
8505560MedicaidVA

Other names 1

  • ROBERTSON DRUG CO INC Doing business as

National Provider Directory

National Provider Directory

Locations

6109 Fort Ave
Lynchburg, VA 24502
Phone (434) 239-2621

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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1255413035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6109 FORT AVE",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245021933",
            "telephone_number": "434-239-2621",
            "fax_number": "434-239-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6109 FORT AVE",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245021933",
            "telephone_number": "434-239-2621",
            "fax_number": "434-239-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTSON DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "434-239-2621",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201000723",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2102677",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8505560",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROBERTSON DRUG CO INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.