Mikes Best Practices Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201004698 Issued in VA

Legal business name

MIKES BEST PRACTICES PHARMACY LLC

Practice address

710 W Ridge Rd
Suite a
Wytheville, VA 24382-1095

Phone

(276) 335-2127

Fax

(276) 335-2102

NPI assigned

Apr 25, 2016

Organization subpart

No

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

Authorized official

Name

Michael Craddock

Title

Owner/Pic

Phone

(276) 335-2153

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Mike's Best Practices Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1497100762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1318",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243828318",
            "telephone_number": "276-335-2127",
            "fax_number": "276-335-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W RIDGE RD",
            "address_2": "SUITE A",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821095",
            "telephone_number": "276-335-2127",
            "fax_number": "276-335-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKES BEST PRACTICES PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "CRADDOCK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "276-335-2153"
    },
    "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": "0201004698",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159688",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mike's Best Practices Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy D McGlothin, CERTIFIED OCCUPATION
• Sabrina McGonigal
• Kenneth Mark McIntyre, M.D.
• Sanjay Rasik Mehta, DO
• Beth Ann Meyer, MSW, LCSW
• Etthan Charles Miller
• Karen Moore Miller
• Robin Fasano Mills
• Pamala Dawn Mize, M.S. CCC-A
• Rachel Lindsey Montgomery, LPC

• Community/Retail Pharmacy in Wytheville, VA
• Providers in Wytheville, 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 Aug 12, 2016; 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.