Phipps Enterprise Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201001611 Issued in VA

Legal business name

PHIPPS ENTERPRISE INC

Practice address

185 South Main St
Hillsville, VA 24343

Phone

(276) 728-2731

Fax

(276) 728-3052

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Mattie Phipps, BS PHARMACYNPI 1790453447

Title

Pres

Phone

(276) 728-2731

Specialties & licenses 2

Addresses

Other identifiers 4

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mattie A Phipps, RPH

  • Pharmacist
  • Hillsville, VA
  • NPI 1790453447
  NPD Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1295828408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1447",
            "city": "HILLSVILLE",
            "state": "VA",
            "postal_code": "243437447",
            "telephone_number": "276-728-2731",
            "fax_number": "276-728-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 SOUTH MAIN ST",
            "city": "HILLSVILLE",
            "state": "VA",
            "postal_code": "24343",
            "telephone_number": "276-728-2731",
            "fax_number": "276-728-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHIPPS ENTERPRISE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "PHIPPS",
        "authorized_official_first_name": "MATTIE",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "276-728-2731",
        "authorized_official_credential": "BS PHARMACY"
    },
    "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": "0201001611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010127831",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8505454",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010146933",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2102650",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Norton, DPT, PT
• Patricia Goad Osborne, FNP-BC
• Christopher Shane Owens, LPTA
• Manuel Perez
• Emily Sikes Petanovich, O.D.
• Mattie A Phipps, RPH
• Ethan Pratt
• PT Solutions, LLC
• Joshua S Ramey, DDS
• Anna Reavis, DNP, FNP-C

• Community/Retail Pharmacy in Hillsville, VA
• Providers in Hillsville, 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 23, 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.

Verify at the official NPI Registry.