Active NPI
Buchanan Pharmacies, Inc.
Doing business as Clinch River Pharmacy
- Community/Retail Pharmacy
- Dungannon, VA
National Provider Identifier
1285787804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 0201003423
- Legal business name
- BUCHANAN PHARMACIES, INC.
- Doing business as
- Clinch River Pharmacy
- Practice address
- RR 1 Box 20
Dungannon, VA 24245-9701 - Phone
- (276) 467-2469
- Fax
- (276) 467-2673
- NPI assigned
- Jan 18, 2007
- Last updated
- Aug 22, 2020
- 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
- Mr. Charles Henry Buchanan Jr., RPH
- Title
- President
- Phone
- (276) 694-3100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 0201003423 | VA | Primary |
Addresses
Primary practice location
RR 1 Box 20
Dungannon, VA 24245-9701
Mailing address
RR 1 Box 20
Dungannon, VA 24245-9701
Phone (276) 467-2469
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8506604 | Medicaid | VA | |
| 4831942 | Other | NCPDP NUMBER |
Other names 1
- Clinch River Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Buchanan Pharmacies Inc
Other organizations with this tax ID 2
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": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1285787804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 1 BOX 20",
"city": "DUNGANNON",
"state": "VA",
"postal_code": "242459701",
"telephone_number": "276-467-2469",
"fax_number": "276-467-2673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RR 1 BOX 20",
"city": "DUNGANNON",
"state": "VA",
"postal_code": "242459701",
"telephone_number": "276-467-2469",
"fax_number": "276-467-2673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUCHANAN PHARMACIES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BUCHANAN",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "HENRY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "276-694-3100",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "VA",
"license": "0201003423",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8506604",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP NUMBER",
"identifier": "4831942",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Clinch River Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Dungannon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.