NPIMap

Organization Active NPI

Southern Virginia Mental Health Institute

  • Long Term Care Pharmacy
  • Danville, VA
National Provider Identifier
1336283423
Registry record updated Apr 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
0201001437 Issued in VA
Legal business name
SOUTHERN VIRGINIA MENTAL HEALTH INSTITUTE
Practice address
382 Taylor Dr
Danville, VA 24541-4023
Phone
(434) 773-4216
Fax
(434) 773-4292
NPI assigned
Feb 20, 2007
Last updated
Apr 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2009

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

Authorized official

Name
Mr. Randall N Morris, RPHNPI 1700853785
Title
Pharmacy Director
Phone
(434) 773-4216

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 0201001437 VA Primary

Addresses

Primary practice location

382 Taylor Dr
Danville, VA 24541-4023

Mailing address

382 Taylor Dr
Danville, VA 24541-4023
Phone (434) 773-4216

Other identifiers 1

IdentifierTypeStateIssuer
008502609MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Southern Virginia Mental Health Institute2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

382 Taylor Dr
Danville, VA 24541
Phone (434) 773-4240

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1336283423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 TAYLOR DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414023",
            "telephone_number": "434-773-4216",
            "fax_number": "434-773-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 TAYLOR DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414023",
            "telephone_number": "434-773-4216",
            "fax_number": "434-773-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN VIRGINIA MENTAL HEALTH INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "434-773-4216",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "VA",
            "license": "0201001437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008502609",
            "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 13, 2009; 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.