Organization Active NPI

David June Enterprises LLC

Doing business as Halifax LTC Pharmacy

  • Long Term Care Pharmacy
  • South Boston, VA
National Provider Identifier
1497353692
Registry record updated Oct 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
DAVID JUNE ENTERPRISES LLC
Doing business as
Halifax LTC Pharmacy
Practice address
4121 Halifax Rd Ste B
South Boston, VA 24592-4833
Phone
(434) 575-0511
Fax
(434) 575-1366
NPI assigned
Oct 12, 2020
Last updated
Oct 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2020

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

Authorized official

Name
Dr. Stephen Anderson, PHARMDNPI 1154948438
Title
Owner
Phone
(434) 575-0511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

4121 Halifax Rd Ste B
South Boston, VA 24592-4833

Mailing address

4121 Halifax Rd Ste B
South Boston, VA 24592-4833
Phone (434) 575-0511

Other names 1

  • Halifax LTC Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602892800000",
    "number": "1497353692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 HALIFAX RD STE B",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245924833",
            "telephone_number": "434-575-0511",
            "fax_number": "434-575-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 HALIFAX RD STE B",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245924833",
            "telephone_number": "434-575-0511",
            "fax_number": "434-575-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID JUNE ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-17",
        "certification_date": "2020-10-17",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-575-0511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Halifax LTC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Halifax LTC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Boston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2020; 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.