Shawsville Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SHAWSVILLE PHARMACY INC

Practice address

250 Alleghany Spring Rd
Shawsville, VA 24162-2416

Phone

(540) 268-2600

Fax

(540) 268-2605

NPI assigned

Jun 14, 2021

Last updated

Sep 1, 2024By 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

Michael Jacob Quinones

Title

Chief Operating Officer

Phone

(540) 577-8441

Specialties & licenses 1

Addresses

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

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725148800000",
    "number": "1275101545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 ALLEGHANY SPRING RD",
            "city": "SHAWSVILLE",
            "state": "VA",
            "postal_code": "24162",
            "telephone_number": "540-268-2600",
            "fax_number": "540-268-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 ALLEGHANY SPRING RD",
            "city": "SHAWSVILLE",
            "state": "VA",
            "postal_code": "241622416",
            "telephone_number": "540-268-2600",
            "fax_number": "540-268-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWSVILLE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2024-09-01",
        "certification_date": "2024-09-01",
        "status": "A",
        "authorized_official_last_name": "QUINONES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "540-577-8441"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary D Leatherland, M.D.
• Deasha Manns
• Julia Price Moore, PMHNP
• Hannah Hughes Pratt, LPTA
• Jonathan Dwyte Robinson, DMD
• Shawsville Pharmacy Inc
• Emily Cousineau Sherburne, PA-C

• Community/Retail Pharmacy in Shawsville, VA
• Providers in Shawsville, 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 Sep 1, 2024; 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.