Organization Active NPI

Pharmacy of Boykins Inc

Doing business as The Pharmacy of Boykins Inc

  • Community/Retail Pharmacy
  • Boykins, VA
National Provider Identifier
1366549297
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201000059 Issued in VA
Legal business name
PHARMACY OF BOYKINS INC
Doing business as
The Pharmacy of Boykins Inc
Practice address
18215 Virginia Ave
Boykins, VA 23827-2744
Phone
(757) 654-6271
Fax
(757) 654-0631
NPI assigned
Sep 20, 2006
Last updated
Aug 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Authorized official

Name
David Collins
Title
President
Phone
(757) 654-6271

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 0201000059 VA Primary

Addresses

Primary practice location

18215 Virginia Ave
Boykins, VA 23827-2744

Mailing address

18215 Virginia Ave
Boykins, VA 23827-2744
Phone (757) 654-6271

Other identifiers 3

IdentifierTypeStateIssuer
008517789MedicaidVA
2102408OtherPK
009118551MedicaidVA

Other names 1

  • THE PHARMACY OF BOYKINS INC Doing business as

National Provider Directory

National Provider Directory

Locations

18215 Virginia Ave
Boykins, VA 23827
Phone (251) 654-6271

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1366549297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18215 VIRGINIA AVE",
            "city": "BOYKINS",
            "state": "VA",
            "postal_code": "238272744",
            "telephone_number": "757-654-6271",
            "fax_number": "757-654-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18215 VIRGINIA AVE",
            "city": "BOYKINS",
            "state": "VA",
            "postal_code": "238272744",
            "telephone_number": "757-654-6271",
            "fax_number": "757-654-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY OF BOYKINS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-654-6271"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201000059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008517789",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2102408",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009118551",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE PHARMACY OF BOYKINS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boykins, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.