Middlesex Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Hartfield, VA
NPI 1487726014 · NPPES record last updated Feb 23, 2017
Key facts
- NPI
- 1487726014
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 0201002102 (VA)
- Legal business name
- MIDDLESEX PHARMACY INC
- Practice address
- 9893 General Puller Hwy
Hartfield, VA 23071-3122 - Phone
- (804) 776-9990
- Fax
- (804) 776-9991
- NPI assigned
- Nov 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Caroll Throckmorton
- Title
- President
- Phone
- (804) 436-3615
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| The Medicine Shoppe #1177 |
Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Ostomy Supplies|Nebulizer Equipment and/or Supplies|Surgical Dressings | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150402000158 | VA | Part B Supplier - Mass Immunization (Roster Biller Only) | 3072743137 | Practice locations: Hartfield, VA |
National Provider Directory
Locations
9893 General Puller Hwy
Hartfield, VA 23071
Phone (804) 776-9990
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 0201002102 | VA | Yes |
Addresses
Primary practice location
9893 General Puller Hwy
Hartfield, VA 23071-3122
Mailing address
9893 General Puller Hwy
Hartfield, VA 23071-3122
Phone (804) 776-9990
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008514402 | Medicaid | VA | |
| 2139221 | Other | PK |
Other names
- The Medicine Shoppe Pharmacy
Other providers in Hartfield, VA
- Karen Elizabeth Durniak
- Ann Frances Easton
- Paul Francis Fairbrother
- Susan Horne
- Peter Liljeberg
- Sheila B Ponder
All providers in Hartfield, VA · Community/Retail Pharmacy in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.