Organization Active NPI

Rocky Mount Family Pharmacy

Doing business as Family Pharmacy #4

  • Pharmacist
  • Rocky Mount, VA
National Provider Identifier
1255540225
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0201004156 Issued in VA
Legal business name
ROCKY MOUNT FAMILY PHARMACY
Doing business as
Family Pharmacy #4
Practice address
1165 Franklin St
Rocky Mount, VA 24151-1248
Phone
(276) 489-5400
Fax
(276) 489-5403
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Mr. Jerry Ray Harper Jr., RPH
Title
President
Phone
(276) 627-0536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 0201004156 VA Primary

Addresses

Primary practice location

1165 Franklin St
Rocky Mount, VA 24151-1248

Mailing address

1165 Franklin St
Rocky Mount, VA 24151-1248
Phone (276) 489-5400

Other names 1

  • FAMILY PHARMACY #4 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Pharmacy 42 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1255540225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 FRANKLIN ST",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241511248",
            "telephone_number": "276-489-5400",
            "fax_number": "276-489-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 FRANKLIN ST",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241511248",
            "telephone_number": "276-489-5400",
            "fax_number": "276-489-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNT FAMILY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-627-0536",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0201004156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY PHARMACY #4",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rocky Mount, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.