Organization Active NPI

Friendship Pharmacy, Inc.

  • Long Term Care Pharmacy
  • Roanoke, VA
National Provider Identifier
1356860183
Registry record updated Sep 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
0201000286 Issued in VA
Legal business name
FRIENDSHIP PHARMACY, INC.
Practice address
327 Hershberger Rd
Roanoke, VA 24012
Phone
(540) 265-2152
Fax
(540) 777-6865
NPI assigned
Sep 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2017

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

Authorized official

Name
Bill Cundiff
Title
Director of Pharmacy
Phone
(540) 265-2153

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 0201000286 VA Primary

Addresses

Primary practice location

327 Hershberger Rd
Roanoke, VA 24012

Mailing address

P.O. Box 7587
P.O. Box 7577
Roanoke, VA 24019
Phone (540) 265-2129

Other identifiers 2

IdentifierTypeStateIssuer
1154308971MedicaidVA
2168908OtherPK

Other names 1

  • Friendship Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Friendship Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505260800000",
    "number": "1356860183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 7587",
            "address_2": "P.O. BOX 7577",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24019",
            "telephone_number": "540-265-2129",
            "fax_number": "540-265-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 HERSHBERGER RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24012",
            "telephone_number": "540-265-2152",
            "fax_number": "540-777-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDSHIP PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2017-09-13",
        "status": "A",
        "authorized_official_last_name": "CUNDIFF",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "540-265-2153"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "VA",
            "license": "0201000286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154308971",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168908",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friendship Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; 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.