Claypool Hill Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

0201004017 Issued in VA

Legal business name

CLAYPOOL HILL PHARMACY

Practice address

12252 Governor G C Peery Hwy
Pounding Mill, VA 24637-4272

Phone

(276) 963-3502

Fax

(276) 963-3757

NPI assigned

Jun 18, 2017

Last updated

Jun 18, 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

Shannon McGraw, PHARMDNPI 1184898777

Title

Secretary

Phone

(276) 963-3502

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Claypool Hill Pharmacy2 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.

• Claypool Hill Pharmacy

  • Pharmacy
  • Pounding Mill, VA
  • NPI 1003911884
  NPD tax ID

Practitioners 2

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.

• Shannon Rose McGraw, PHARMD

  • Pharmacist
  • Pounding Mill, VA
  • NPI 1184898777
  NPD Authorized official
• Jody Dow Fuller, RPH

  • Pharmacist
  • Pounding Mill, VA
  • NPI 1275707705
  NPD (past)

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497744000000",
    "number": "1346770856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690",
            "city": "POUNDING MILL",
            "state": "VA",
            "postal_code": "246370690",
            "telephone_number": "276-963-3502",
            "fax_number": "276-963-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12252 GOVERNOR G C PEERY HWY",
            "city": "POUNDING MILL",
            "state": "VA",
            "postal_code": "246374272",
            "telephone_number": "276-963-3502",
            "fax_number": "276-963-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYPOOL HILL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-18",
        "last_updated": "2017-06-18",
        "status": "A",
        "authorized_official_last_name": "MCGRAW",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "276-963-3502",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "VA",
            "license": "0201004017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010143080",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Lynn Burks, FNP
• Kimberly Dawn Carroll, MA
• Valerie Jean Christian, OD
• Annie Catherine Clark, LPC
• Claypool Hill Pharmacy
• Clinch Professional Physician Services LLC (Clinch Valley Urgent Care)
• Cline Eyecare, Inc
• Kerry Keith Cline, O.D.
• Courtney Cole-Hackworth
• Courtney Cole-Hakcworth

• Long Term Care Pharmacy in Pounding Mill, VA
• Providers in Pounding Mill, VA by specialty
• Long Term Care Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.