Ron Mady, R.PH.
Individual provider Active NPI Pharmacist · Dublin, VA
NPI 1285956672 · NPPES record last updated Feb 25, 2010
Key facts
- NPI
- 1285956672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0202005201 (VA)
- Practice address
- 240 Broad St
Dublin, VA 24084-3203 - Phone
- (540) 674-5261
- Fax
- (540) 674-5254
- NPI assigned
- Feb 25, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202005201 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202005201 | VA | Yes |
Addresses
Primary practice location
240 Broad St
Dublin, VA 24084-3203
Mailing address
240 Broad St
Dublin, VA 24084-3203
Phone (540) 674-5261
Other providers in Dublin, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.