Organization Active NPI

Commonwealth Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Danville, VA
National Provider Identifier
1336147909
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0201002863 Issued in VA
Legal business name
COMMONWEALTH PHARMACY
Practice address
949 Piney Forest Rd
Danville, VA 24540-1549
Phone
(434) 836-7146
Fax
(434) 835-0031
NPI assigned
Jul 8, 2005
Last updated
Apr 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Authorized official

Name
Mrs. Barbara M Grogan
Title
Ins Secretary
Phone
(434) 836-7146

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0201002863 VA Primary

Addresses

Primary practice location

949 Piney Forest Rd
Danville, VA 24540-1549

Mailing address

949 Piney Forest Rd
Danville, VA 24540-1549
Phone (434) 836-7146

Other identifiers 1

IdentifierTypeStateIssuer
009141782MedicaidVA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1336147909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 PINEY FOREST RD",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245401549",
            "telephone_number": "434-836-7146",
            "fax_number": "434-835-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 PINEY FOREST RD",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245401549",
            "telephone_number": "434-836-7146",
            "fax_number": "434-835-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2010-04-15",
        "status": "A",
        "authorized_official_last_name": "GROGAN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "INS SECRETARY",
        "authorized_official_telephone_number": "434-836-7146",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0201002863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009141782",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.