Beaverdam Apothecary
Organization Active NPI Community/Retail Pharmacy · Beaverdam, VA
NPI 1356417463 · NPPES record last updated Jul 19, 2018
Key facts
- NPI
- 1356417463
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 0201001471 (VA)
- Legal business name
- BEAVERDAM APOTHECARY
- Practice address
- 16151 Trainham Rd
Ste B
Beaverdam, VA 23015-1301 - Phone
- (804) 449-6333
- Fax
- (804) 449-6173
- NPI assigned
- Nov 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Harry Brooks
- Title
- Owner
- Phone
- (804) 908-8115
National Provider Directory
Locations
16151B Trainham Rd
Beaverdam, VA 23015
Phone (804) 449-6333
16151 Trainham Rd
#B
Beaverdam, VA 23015
Phone (804) 449-6333
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 0201001471 | VA | Yes |
Addresses
Primary practice location
16151 Trainham Rd
Ste B
Beaverdam, VA 23015-1301
Mailing address
16151 Trainham Rd
Ste B
Beaverdam, VA 23015-1301
Phone (804) 449-6333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356417463 | Medicaid | VA | |
| 2156211 | Other | PK | |
| 01356417463 | Medicaid | VA | |
| 4814770 | Medicaid | VA |
Other names
- Beaverdam Apothecary
Other providers in Beaverdam, VA
- Beverdam Family Medicine, LTD
- Brighter Solutions Medical Transport
- James Carrigan
- Delvonta D Cooper
- William Anthony Droppleman
All providers in Beaverdam, VA · Community/Retail Pharmacy in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.