Professional Pharmacy, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0201000675 Issued in VA

Legal business name

PROFESSIONAL PHARMACY, INC.

Practice address

130 Watson St
Danville, VA 24541-2835

Phone

(434) 793-2221

Fax

(434) 797-9722

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Jack V. Thomson IINPI 1992078596

Title

Pic, Owner

Phone

(434) 793-2221

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jack Vincent Thomson II

  • Pharmacist
  • Danville, VA
  • NPI 1992078596
  NPD Authorized official

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1306960497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 WATSON ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412835",
            "telephone_number": "434-793-2221",
            "fax_number": "434-797-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WATSON ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412835",
            "telephone_number": "434-793-2221",
            "fax_number": "434-797-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "THOMSON",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PIC, OWNER",
        "authorized_official_telephone_number": "434-793-2221",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0201000675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009147161",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providence Family & Sports Medicine, Inc
• Cynthia Pruitt-Rhodes, LPC

• Durable Medical Equipment & Medical Supplies in Danville, VA
• Providers in Danville, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.