Mao Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201002128 Issued in VA

Legal business name

MAO PHARMACY INC

Doing business as

Westwood Pharmacy

Practice address

5823 Patterson Ave
Richmond, VA 23226-2536

Phone

(804) 288-1933

Fax

(804) 288-7934

NPI assigned

Jul 30, 2006

Last updated

Oct 3, 2024By 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

Mark Oley

Title

Owner

Phone

(804) 288-1933

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• WESTWOOD PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1487669008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5823 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262536",
            "telephone_number": "804-288-1933",
            "fax_number": "804-288-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5823 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262536",
            "telephone_number": "804-288-1933",
            "fax_number": "804-288-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAO PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "OLEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-288-1933"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201002128",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4808777",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTWOOD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mansuetos Corporation (BrightStar Healthcare)
• John S Mantanona, PT, DPT
• Trisha Joelle Spence Mantel
• Tracy L Manyara, FNP
• Mao Pharmacy Inc (Westwood Pharmacy Clinical Services)
• Mao Pharmacy, Inc. (Westwood East End Pharmacy)
• Mao Pharmacy, Inc. (Westwood Behavioral Health Pharmacy Richmond)
• Maple Care LLC
• Maple Street ABA VA LLC
• Joy Monte Maples-Parham, QMHP-C

• Community/Retail Pharmacy in Richmond, VA
• Providers in Richmond, 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 Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.