The Prescription Shoppe LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

THE PRESCRIPTION SHOPPE LLC

Practice address

5223 Monticello Ave Ste C
Williamsburg, VA 23188-8236

Phone

(757) 206-1630

Fax

(757) 612-4434

NPI assigned

Sep 29, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Henry Kyle Ranger, PHARMDNPI 1083178172

Title

Owner

Phone

(757) 206-1630

Specialties & licenses 1

Addresses

Other names 1

• The Prescription Shoppe Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henry Kyle Ranger, PHARMD

  • Pharmacist
  • Williamsburg, VA
  • NPI 1083178172
  NPD Authorized official

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

{
    "created_epoch": "1538179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591401600000",
    "number": "1538644166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 CAVENDISH CT",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231881468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5223 MONTICELLO AVE STE C",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888236",
            "telephone_number": "757-206-1630",
            "fax_number": "757-612-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PRESCRIPTION SHOPPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-29",
        "last_updated": "2020-06-06",
        "certification_date": "2020-06-06",
        "status": "A",
        "authorized_official_last_name": "RANGER",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-206-1630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Prescription Shoppe",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Prescription Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Growth & Empowerment Group, Inc.
• The Healing Project LLC
• The Pavilion at Williamsburg Place, Inc.
• The Pavilion at Williamsburg Place, Inc.
• The Performance Pursuit
• Meghan Mary Theis
• Therapy Owls LLC
• Therapy With Alyse, LLC
• Daniel Thomas Thibodeau, PA
• Katherine Thiesse, MS, RD

• Community/Retail Pharmacy in Williamsburg, VA
• Providers in Williamsburg, 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 Jun 6, 2020; 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.