NPIMap

Organization Active NPI

King George Pharmacy, Inc.

  • Community Health Clinic/Center
  • King George, VA
National Provider Identifier
1497724488
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
0201002539 Issued in VA
Legal business name
KING GEORGE PHARMACY, INC.
Practice address
15427 Dahlgren Rd
King George, VA 22485-5619
Phone
(540) 663-2665
Fax
(540) 663-4275
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William B GallahanNPI 1720080146
Title
Owner
Phone
(540) 663-2665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 0201002539 VA Primary

Addresses

Primary practice location

15427 Dahlgren Rd
King George, VA 22485-5619

Mailing address

PO Box 1975
Dahlgren, VA 22448-1975
Phone (540) 663-2665

National Provider Directory

National Provider Directory
Tax ID family
King George Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15427 Dahlgren Rd
King George, VA 22485
Phone (540) 663-2665

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497724488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1975",
            "city": "DAHLGREN",
            "state": "VA",
            "postal_code": "224481975",
            "telephone_number": "540-663-2665",
            "fax_number": "540-663-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15427 DAHLGREN RD",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224855619",
            "telephone_number": "540-663-2665",
            "fax_number": "540-663-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING GEORGE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GALLAHAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-663-2665",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "VA",
            "license": "0201002539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King George, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.