King William Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201001236 Issued in VA

Legal business name

KING WILLIAM PHARMACY INC

Practice address

7890 B Richmond Tappahanock Hwy
Aylett, VA 23009

Phone

(804) 769-3885

Fax

(804) 769-4413

NPI assigned

Sep 21, 2006

Last updated

Dec 14, 2017By 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

Brenda Schoonover

Title

Pic

Phone

(804) 769-3885

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathryn Weakley, PHARMD

  • Pharmacist
  • Aylett, VA
  • NPI 1720331432
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513209600000",
    "number": "1316045305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "city": "AYLETT",
            "state": "VA",
            "postal_code": "230090029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7890 B RICHMOND TAPPAHANOCK HWY",
            "city": "AYLETT",
            "state": "VA",
            "postal_code": "23009",
            "telephone_number": "804-769-3885",
            "fax_number": "804-769-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING WILLIAM PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2017-12-14",
        "status": "A",
        "authorized_official_last_name": "SCHOONOVER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "804-769-3885"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201001236",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2102229",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8509638",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Marie Jemison, NP, RN, LVT
• Lauren Jenkins
• Aleyah Chanel Kelly
• Geri Nicole Kennedy
• King William County Board of Supervisors (King William County EMS)
• King William Physical Therapy
• King William Volunteer Fire and Rescue
• Augustine Warner Lewis III
• Grace Limbaugh
• Anna A Limberger, PT, PHD

• Community/Retail Pharmacy in Aylett, VA
• Providers in Aylett, 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 Dec 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.