Appomattox Drug Store Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201001785 Issued in VA

Legal business name

APPOMATTOX DRUG STORE INC

Doing business as

Appomattox Drug Store

Practice address

2046 Confederate Blvd
Appomattox, VA 24522-4097

Phone

(434) 352-7161

Fax

(434) 352-2180

NPI assigned

Jul 4, 2006

Last updated

Dec 11, 2023By 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

Jamie Mitchell

Title

General Manager

Phone

(434) 352-7161

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• APPOMATTOX DRUG STORE Doing business as

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1508896598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "APPOMATTOX",
            "state": "VA",
            "postal_code": "245220489",
            "telephone_number": "434-352-7161",
            "fax_number": "434-352-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2046 CONFEDERATE BLVD",
            "city": "APPOMATTOX",
            "state": "VA",
            "postal_code": "245224097",
            "telephone_number": "434-352-7161",
            "fax_number": "434-352-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPOMATTOX DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "434-352-7161"
    },
    "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": "0201001785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2102351",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8511268",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008511268",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APPOMATTOX DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "APPOMATTOX DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aging Well Health and Wellnes (Aging Well Healthcare Services)
• Appomattox Care Center LLC (Appomattox Health & Rehabilitation Center)
• Appomattox County Public Schools
• Appomattox County Rescue Squad Inc
• Appomattox Drug Store
• Sidnei Brianne Arrowood, DPT, PT
• Aspire Mental Health and Wellness LLC
• At Home Service Management, LLC
• Babcock Manor, Inc,
• Allison Brooke Barksdale, DPT

• Community/Retail Pharmacy in Appomattox, VA
• Providers in Appomattox, 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 Dec 11, 2023; 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.