Active NPI
Forest Pharmacy Inc
- Community/Retail Pharmacy
- Wytheville, VA
National Provider Identifier
1255774121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- FOREST PHARMACY INC
- Doing business as
- Forest Pharmacy
- Practice address
- 1787 W Lee Highway
Suite B
Wytheville, VA 24382 - Phone
- (276) 227-0781
- Fax
- (276) 227-0791
- NPI assigned
- Apr 10, 2013
- 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
- Craig A Stiltner, RPH
- Title
- Pharmacist
- Phone
- (276) 613-6019
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1787 W Lee Highway
Suite B
Wytheville, VA 24382
Mailing address
1787 W Lee Highway
Suite B
Wytheville, VA 24382
Phone (276) 227-0781
Other names 1
- Forest Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140306001342 | VA | DME Supplier - Pharmacy | 6901036292 | Practice locations: Wytheville, 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 |
|---|---|---|
| Forest Pharmacy Inc | Blood Glucose Monitors/Supplies (Non-Mail Order)|Nebulizer Equipment and/or Supplies | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
1787 W Lee Hwy
Ste B
Wytheville, VA 24382
Phone (276) 227-0781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394668800000",
"number": "1255774121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1787 W LEE HIGHWAY",
"address_2": "SUITE B",
"city": "WYTHEVILLE",
"state": "VA",
"postal_code": "24382",
"telephone_number": "276-227-0781",
"fax_number": "276-227-0791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1787 W LEE HIGHWAY",
"address_2": "SUITE B",
"city": "WYTHEVILLE",
"state": "VA",
"postal_code": "24382",
"telephone_number": "276-227-0781",
"fax_number": "276-227-0791"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOREST PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-10",
"last_updated": "2014-03-13",
"status": "A",
"authorized_official_last_name": "STILTNER",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "276-613-6019",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Forest Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wytheville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.