Sparrow Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201004761 Issued in VA

Legal business name

SPARROW PHARMACY LLC

Doing business as

Cavalier Drugs

Practice address

1101 Executive Blvd Ste a
Chesapeake, VA 23320-3634

Phone

(757) 656-6460

Fax

(757) 410-1799

NPI assigned

May 22, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Kimmy Owen

Title

Owner

Phone

(757) 656-6460

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cavalier Drugs Doing business as

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1447787445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 EXECUTIVE BLVD STE A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203634",
            "telephone_number": "757-656-6460",
            "fax_number": "757-410-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 EXECUTIVE BLVD STE A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203634",
            "telephone_number": "757-656-6460",
            "fax_number": "757-410-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARROW PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-22",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "KIMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-656-6460",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA BOARD OF PHARMACY",
            "identifier": "0201004761",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cavalier Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Chesapeake, VA
• Providers in Chesapeake, 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 Mar 28, 2019; 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.