Bear Creek Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201000062 Issued in VA

Legal business name

BEAR CREEK DRUG INC

Doing business as

Brambleton Drug

Practice address

3328 Brambleton Ave
Roanoke, VA 24018-6523

Phone

(540) 774-8309

Fax

(540) 776-9186

NPI assigned

Aug 31, 2006

Last updated

Oct 4, 2007By 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

Anthony Lockhart

Title

President

Phone

(540) 774-8309

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• BRAMBLETON DRUG Doing business as

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1497867303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 HICKORY HILL DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240187431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3328 BRAMBLETON AVE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186523",
            "telephone_number": "540-774-8309",
            "fax_number": "540-776-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR CREEK DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "LOCKHART",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-774-8309"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201000062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4804111",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4804111",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRAMBLETON DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Briana Mary Beach, D.O.
• Lillian B Beahm, AU.D
• Robyn Beail
• Daniel Beale, DPT, PT
• Kaitlyn D Bean, CPT,CCMA
• Jimmi Beard, NP
• Cammi Leigh Beason, MPT
• Caroline Schaff Beatrous
• Michael Christopher Beaudoin, CRNA
• Elizabeth H Beaumont, PT

• Community/Retail Pharmacy in Roanoke, VA
• Providers in Roanoke, 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 Oct 4, 2007; 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.