Cavalier Pharmacy 2 Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201004285 Issued in VA

Legal business name

CAVALIER PHARMACY 2 INC

Doing business as

Cavalier Pharmacy 2 Inc

Practice address

336 Coeburn Ave SW
Norton, VA 24273

Phone

(276) 679-0888

Fax

(276) 679-0404

NPI assigned

Mar 4, 2009

Last updated

May 29, 2009By 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

Rick Mullins

Title

President/Owner

Phone

(276) 679-0888

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cavalier Pharmacy 2 Inc Doing business as

Locations

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1508006461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1245",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242730917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 COEBURN AVE SW",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "24273",
            "telephone_number": "276-679-0888",
            "fax_number": "276-679-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAVALIER PHARMACY 2 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "276-679-0888"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4841602",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cavalier Pharmacy 2 Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Norton, VA
• Providers in Norton, 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 May 29, 2009; 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.