Middlesex Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201002102 Issued in VA

Legal business name

MIDDLESEX PHARMACY INC

Doing business as

The Medicine Shoppe Pharmacy

Practice address

9893 General Puller Hwy
Hartfield, VA 23071-3122

Phone

(804) 776-9990

Fax

(804) 776-9991

NPI assigned

Nov 15, 2006

Last updated

Feb 23, 2017By 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

Caroll Throckmorton

Title

President

Phone

(804) 436-3615

Specialties & licenses 3

Addresses

Other names 1

• The Medicine Shoppe Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1487726014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9893 GENERAL PULLER HWY",
            "city": "HARTFIELD",
            "state": "VA",
            "postal_code": "230713122",
            "telephone_number": "804-776-9990",
            "fax_number": "804-776-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9893 GENERAL PULLER HWY",
            "city": "HARTFIELD",
            "state": "VA",
            "postal_code": "230713122",
            "telephone_number": "804-776-9990",
            "fax_number": "804-776-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLESEX PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "THROCKMORTON",
        "authorized_official_first_name": "CAROLL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-436-3615"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201002102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Elizabeth Durniak, P.T.
• Ann Frances Easton, P.T.
• Paul Francis Fairbrother, M.D.
• Susan Horne, LPC
• Peter Liljeberg, M.D.
• Sheila B Ponder

• Community/Retail Pharmacy in Hartfield, VA
• Providers in Hartfield, 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 Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.