Neighborhood Pharmacy LLC
Organization Active NPI Community/Retail Pharmacy · Frederiksted, VI
NPI 1255737003 · NPPES record last updated Nov 25, 2015
Key facts
- NPI
- 1255737003
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 25755 (VI)
- Legal business name
- NEIGHBORHOOD PHARMACY LLC
- Practice address
- 140B Estate St George
Frederiksted, VI 00840-4459 - Phone
- (340) 718-6784
- Fax
- (340) 719-6784
- NPI assigned
- Nov 6, 2014
- Organization subpart
- No
Authorized official
- Name
- Kisha Christian-Butcher, DOCTOR OF PHARM
- Title
- Owner
- Phone
- (340) 718-6784
Practitioners 2
-
Kisha Marie Christian, PHARM.D
-
Megan Russell, RPH, PHARM. D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 48D2183807 | Neighborhood Pharmacy | Certificate of waiver | May 10, 2028 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Neighborhood Pharmacy LLC |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Automatic Ext Defibrillator (AEDS) and/or Supplies|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (El… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in VI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170220002762 | VI | DME Supplier - Pharmacy | 4981987872 | Practice locations: Frederiksted, VI |
| O20180716003388 | VI | Part B Supplier - Pharmacy | 4981987872 | Practice locations: Frederiksted, VI |
| O20201022002817 | VI | Part B Supplier - Independent Clinical Laboratory | 4981987872 | Practice locations: Frederiksted, VI |
National Provider Directory
Locations
140B Estate St George
Frederiksted, VI 00840
Phone (340) 718-6784
140 St George
#B
Frederiksted, VI 00840
Phone (340) 718-6784
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 25755 | VI | Yes |
| Compounding Pharmacy | 3336C0004X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
140B Estate St George
Frederiksted, VI 00840-4459
Mailing address
140B Estate St George
Frederiksted, VI 00840-4459
Phone (340) 718-6784
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2148632 | Other | PK |
Other names
- Neighborhood Pharmacy
Other providers in Frederiksted, VI
- Jessica Marie Lignelli
- Jozette C. Matthews
- Stephanie T McIntosh Luis
- Tarik Malachi McMillan
- Medical Health &DME Supplies
- Latonya R. R. Nesbitt
- Octaviorx Enterprises LLC
- Mia Ozimba-Mbuya
- Rachel D Pakenham
- Sherishma Chantell Pennyfeather
All providers in Frederiksted, VI · Community/Retail Pharmacy in U.S. Virgin Islands
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.