Lively Drug Company Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201000427 Issued in VA

Legal business name

LIVELY DRUG COMPANY INC

Doing business as

Lively Drug Co Inc

Practice address

36 Lively Oaks Rd
State RT 3
Lively, VA 22507

Phone

(804) 462-5644

Fax

(804) 462-5667

NPI assigned

Sep 21, 2006

Last updated

Nov 5, 2010By 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

Thoams Beane, RPH

Title

Owner Pharmacist

Phone

(804) 462-5644

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• LIVELY DRUG CO INC Doing business as

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1306945266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 399",
            "city": "LIVELY",
            "state": "VA",
            "postal_code": "225070399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 LIVELY OAKS RD",
            "address_2": "STATE RT 3",
            "city": "LIVELY",
            "state": "VA",
            "postal_code": "22507",
            "telephone_number": "804-462-5644",
            "fax_number": "804-462-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVELY DRUG COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "BEANE",
        "authorized_official_first_name": "THOAMS",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "804-462-5644",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201000427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8503516",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4806824",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIVELY DRUG CO INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chesapeake Hospital LLC (Bon Secours Lively Medical Center)
• Chesapeake Medical Group, Inc.
• Christine Collins, NP
• Erin K Corsa, NP
• Ellen A Kingsbury, M.D.

• Community/Retail Pharmacy in Lively, VA
• Providers in Lively, 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 Nov 5, 2010; 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.