Seaside Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

SEASIDE PHARMACY LLC

Practice address

1630 Donna Dr Ste 103
Virginia Beach, VA 23451-6188

Phone

(757) 937-9548

NPI assigned

Oct 10, 2019

Organization subpart

No

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

Authorized official

Name

Craig Roth, RPH

Title

Pharmacist in Charge

Phone

(757) 937-9548

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1447892450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 DONNA DR STE 103",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234516188",
            "telephone_number": "757-937-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 DONNA DR STE 103",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234516188",
            "telephone_number": "757-937-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "757-937-9548",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.