Cundiff Drug Store Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201000141 Issued in VA

Legal business name

CUNDIFF DRUG STORE INC

Doing business as

Cundiff Drug Store Inc

Practice address

119 E Cleveland Ave
Vinton, VA 24179-2538

Phone

(540) 342-8928

Fax

(540) 343-8214

NPI assigned

Apr 25, 2006

Last updated

Feb 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samuel CundiffNPI 1104511955

Title

Pharmacist in Charge

Phone

(540) 342-8928

Specialties & licenses 2

Addresses

Other names 1

• CUNDIFF DRUG STORE INC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Wallace Cundiff Jr., RPH

  • Pharmacist
  • Rocky Mount, VA
  • NPI 1104511955
  NPD Authorized official

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1396701587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E CLEVELAND AVE",
            "city": "VINTON",
            "state": "VA",
            "postal_code": "241792538",
            "telephone_number": "540-342-8928",
            "fax_number": "540-343-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E CLEVELAND AVE",
            "city": "VINTON",
            "state": "VA",
            "postal_code": "241792538",
            "telephone_number": "540-342-8928",
            "fax_number": "540-343-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUNDIFF DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "CUNDIFF",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "540-342-8928"
    },
    "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": "0201000141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CUNDIFF DRUG STORE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah Lynn Cobourn
• Commonwealth of Virginia State Board of Health (Roanoke County/Vinton Health Department)
• Community Foot Care Center
• Amy L. Conforti, O.T.
• Chrystal Cook, LCSW
• Danielle Davis, ATC, LAT
• Gerald Wayne Davis, DDS
• Taylor Dayton
• Dee Lemars Transportation Service LLC
• John Gabriel Digiovanni Jr.

• Community/Retail Pharmacy in Vinton, VA
• Providers in Vinton, 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 Feb 23, 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.