Active NPI
Martinsville Family Pharmacy
- Community/Retail Pharmacy
- Martinsville, VA
National Provider Identifier
1356374268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 0201003742
- Legal business name
- MARTINSVILLE FAMILY PHARMACY
- Practice address
- 1049A Brookdale St
Martinsville, VA 24112-3950 - Phone
- (276) 634-0922
- Fax
- (276) 634-5048
- NPI assigned
- Jul 7, 2006
- Last updated
- Sep 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Pratt
- Title
- President
- Phone
- (276) 634-0922
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 0201003742 | VA | Primary |
| Long Term Care Pharmacy | 3336L0003X | NU |
Addresses
Primary practice location
1049A Brookdale St
Martinsville, VA 24112-3950
Mailing address
PO Box 4589
Martinsville, VA 24115-4589
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4836144 | Other | OTHER ID NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189641600000",
"number": "1356374268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4589",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241154589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1049A BROOKDALE ST",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241123950",
"telephone_number": "276-634-0922",
"fax_number": "276-634-5048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTINSVILLE FAMILY PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-07",
"last_updated": "2007-09-13",
"status": "A",
"authorized_official_last_name": "PRATT",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "276-634-0922"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "VA",
"license": "0201003742",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "4836144",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Martinsville, VA
- Martinsville City Public Schools
- Martinsville ENT & Allergy, P.C.
- Martinsville Family Care LLC
- Martinsville Family Dentistry PC
- Martinsville Family Medicine (Favero Family Practice)
- Martinsville Henry County Coalition for Health and Wellness (MHC Community Dental Clinic)
- Martinsville Neurological Assoc., Inc
- Martinsville Optical Co., Inc.
- Martinsville Otolaryngology Associates, Inc
- Martinsville Pharmacy Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.