Marybeth Jones Pruitt, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202215066 Issued in VA

Practice address

3001 Virginia Ave
Collinsville, VA 24078-2244

Phone

(276) 647-3886

Fax

(276) 647-1036

NPI assigned

Nov 25, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Marybeth Ellen Jones Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1508460973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 VIRGINIA AVE",
            "city": "COLLINSVILLE",
            "state": "VA",
            "postal_code": "240782244",
            "telephone_number": "276-647-3886",
            "fax_number": "276-647-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 VIRGINIA AVE",
            "city": "COLLINSVILLE",
            "state": "VA",
            "postal_code": "240782244",
            "telephone_number": "276-647-3886",
            "fax_number": "276-647-1036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 Virginia Ave",
            "address_purpose": "LOCATION",
            "city": "Collinsville",
            "state": "VA",
            "postal_code": "240782244",
            "country_code": "US",
            "telephone_number": "276-647-3886 x8007",
            "fax_number": "276-647-1036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "MARYBETH",
        "middle_name": "JONES",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202215066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYBETH",
            "last_name": "JONES",
            "middle_name": "ELLEN",
            "credential": "PHARM D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Pharmacist in Collinsville, VA
• Providers in Collinsville, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.