Organization Active NPI

Farmville Pharmacy Inc

  • Community/Retail Pharmacy
  • Farmville, VA
National Provider Identifier
1386980498
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0202209249 Issued in VA
Legal business name
FARMVILLE PHARMACY INC
Practice address
308 S Main St # a
Farmville, VA 23901-1771
Phone
(703) 622-0376
NPI assigned
Dec 17, 2012
Last updated
Dec 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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

Authorized official

Name
Scott K Kim
Title
President
Phone
(703) 622-0376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 0202209249 VA Primary

Addresses

Primary practice location

308 S Main St # a
Farmville, VA 23901-1771

Mailing address

308 S Main St # a
Farmville, VA 23901-1771

National Provider Directory

National Provider Directory

Locations

308 S Main St
Ste A
Farmville, VA 23901
Phone (434) 392-1985

NPI Registry JSON

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1386980498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 S MAIN ST # A",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 S MAIN ST # A",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011771",
            "telephone_number": "703-622-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMVILLE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-622-0376"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0202209249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.