Active NPI
Independence Alive & Well Inc
- Pharmacy
- Bridgewater, VA
National Provider Identifier
1487792974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 0201003486
- Legal business name
- INDEPENDENCE ALIVE & WELL INC
- Practice address
- 509 N Main St
Bridgewater, VA 22812-1626 - Phone
- (540) 828-6000
- Fax
- (540) 828-2743
- NPI assigned
- Feb 5, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Patrick Andrew Oshea, RPH
- Title
- Owner
- Phone
- (540) 828-6000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Bridgewater, VA
- NPI 1306901657
-
- Pharmacist
- Bridgewater, VA
- NPI 1558648931
National Provider Directory
National Provider DirectoryLocations
509 N Main St
Bridgewater, VA 22812
Phone (540) 828-6000
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 0201003486 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
509 N Main St
Bridgewater, VA 22812-1626
Mailing address
509 N Main St
Bridgewater, VA 22812-1626
Phone (540) 828-6000
Other names 1
NPPES NPI Registry- Bridge Water Pharmacy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 16, 2010.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266278400000",
"number": "1487792974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 N MAIN ST",
"city": "BRIDGEWATER",
"state": "VA",
"postal_code": "228121626",
"telephone_number": "540-828-6000",
"fax_number": "540-828-2743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 N MAIN ST",
"city": "BRIDGEWATER",
"state": "VA",
"postal_code": "228121626",
"telephone_number": "540-828-6000",
"fax_number": "540-828-2743"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDEPENDENCE ALIVE & WELL INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-05",
"last_updated": "2010-02-16",
"status": "A",
"authorized_official_last_name": "OSHEA",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "ANDREW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "540-828-6000",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "VA",
"license": "0201003486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bridge Water Pharmacy",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bridgewater, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.