Buntings Drug Center LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201001918 Issued in VA

Legal business name

BUNTINGS DRUG CENTER LLC

Practice address

1883 Euclid Ave
Bristol, VA 24201-3605

Phone

(276) 466-3600

Fax

(276) 466-3578

NPI assigned

Sep 9, 2015

Organization subpart

No

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

Authorized official

Name

Patrick Deel

Title

Owner

Phone

(276) 466-3600

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• BUNTINGS AND NORTHSIDE DRUG CENTER Doing business as

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1275901159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1883 EUCLID AVE",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013605",
            "telephone_number": "276-466-3600",
            "fax_number": "276-466-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1883 EUCLID AVE",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013605",
            "telephone_number": "276-466-3600",
            "fax_number": "276-466-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUNTINGS DRUG CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "DEEL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-466-3600"
    },
    "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": "0201001918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153962",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BUNTINGS AND NORTHSIDE DRUG CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ametha Broadwater, LPN
• Jordan M Brooks, PA-C
• Stephanie Lynese Brooks, LCSW
• Jessica P. Brown, M.S. CCC-SLP
• Amy Browning, COTA
• Buntings Specialty Care RX
• Gail L Burd, OTR
• Kara Leann Bush, PHARMD
• Katharine Grayson-Reynolds Byrd, ED.S.
• Michael Cagle, DDS

• All providers in Bristol, VA
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.