Rockbridge Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201004653 Issued in VA

Legal business name

ROCKBRIDGE PHARMACY LLC

Practice address

146 S Main St
Lexington, VA 24450-2356

Phone

(540) 463-4001

Fax

(540) 463-1119

NPI assigned

Jun 27, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Mamita Gurung, R.PH

Title

President

Phone

(571) 438-3691

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rockbridge Pharmacy Doing business as

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

{
    "created_epoch": "1435363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1356723274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 S MAIN ST",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244502356",
            "telephone_number": "540-463-4001",
            "fax_number": "540-463-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 S MAIN ST",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244502356",
            "telephone_number": "540-463-4001",
            "fax_number": "540-463-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKBRIDGE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-27",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "GURUNG",
        "authorized_official_first_name": "MAMITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-438-3691",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356723274",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockbridge Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Lexington, VA
• Providers in Lexington, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.