Organization Active NPI

Piedmont Pharmacy Inc

Doing business as Piedmont Pharmacy

  • Community/Retail Pharmacy
  • Danville, VA
National Provider Identifier
1508134628
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201004439 Issued in VA
Legal business name
PIEDMONT PHARMACY INC
Doing business as
Piedmont Pharmacy
Practice address
305 Mount Cross Rd
Danville, VA 24540-4045
Phone
(434) 791-3784
Fax
(434) 791-2554
NPI assigned
Dec 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Authorized official

Name
Dr. Vance KiserNPI 1164175634
Title
President
Phone
(434) 251-4839

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 0201004439 VA Primary

Addresses

Primary practice location

305 Mount Cross Rd
Danville, VA 24540-4045

Mailing address

305 Mount Cross Rd
Danville, VA 24540-4045
Phone (434) 791-3784

Other identifiers 1

IdentifierTypeStateIssuer
4843531OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Piedmont Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120831000057 VA DME Supplier - Pharmacy 4587811237 Practice locations: Danville, VA
O20121101000392 VA Part B Supplier - Mass Immunization (Roster Biller Only) 4587811237 Practice locations: Danville, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Piedmont Pharmacy305 Mount Cross Rd, Danville, VA 24540-4045(434) 791-3784 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jul 3, 2012

National Provider Directory

National Provider Directory

Locations

305 Mount Cross Rd
Danville, VA 24540
Phone (434) 791-3784

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": "1322870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1508134628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MOUNT CROSS RD",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245404045",
            "telephone_number": "434-791-3784",
            "fax_number": "434-791-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MOUNT CROSS RD",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245404045",
            "telephone_number": "434-791-3784",
            "fax_number": "434-791-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-03",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "KISER",
        "authorized_official_first_name": "VANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-251-4839",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4843531",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piedmont Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.