NPIMap

Organization Active NPI

Cundiff Blue Ridge Pharmacy, Inc.

  • Pharmacy
  • Troutville, VA
National Provider Identifier
1457582652
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
0201002463 Issued in VA
Legal business name
CUNDIFF BLUE RIDGE PHARMACY, INC.
Practice address
1663 Blue Ridge Blvd
Troutville, VA 24175-6636
Phone
(540) 977-4224
Fax
(540) 977-0297
NPI assigned
Aug 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Authorized official

Name
Dr. Jennifer Lee ClevelandNPI 1124259320
Title
Owner
Phone
(540) 977-4224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 0201002463 VA Primary

Addresses

Primary practice location

1663 Blue Ridge Blvd
Troutville, VA 24175-6636

Mailing address

1663 Blue Ridge Blvd
Troutville, VA 24175-6636
Phone (540) 977-4224

National Provider Directory

National Provider Directory

Locations

1663 Blue Ridge Blvd
Troutville, VA 24175
Phone (540) 977-4224

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1457582652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1663 BLUE RIDGE BLVD",
            "city": "TROUTVILLE",
            "state": "VA",
            "postal_code": "241756636",
            "telephone_number": "540-977-4224",
            "fax_number": "540-977-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1663 BLUE RIDGE BLVD",
            "city": "TROUTVILLE",
            "state": "VA",
            "postal_code": "241756636",
            "telephone_number": "540-977-4224",
            "fax_number": "540-977-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUNDIFF BLUE RIDGE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "CLEVELAND",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-977-4224",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0201002463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troutville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.