Cavalier Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201003976 Issued in VA

Legal business name

CAVALIER PHARMACY INC

Practice address

301 Church St
Wise, VA 24293

Phone

(276) 328-9141

Fax

(276) 328-9130

NPI assigned

Jul 13, 2006

Last updated

Jun 10, 2014By 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

Mr. Rick L Mullins, PHARMDNPI 1407431984

Title

Pharmacist Owner

Phone

(276) 328-9141

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rick L Mullins, PHARMD

  • Pharmacist
  • Wise, VA
  • NPI 1407431984
  NPD Authorized official
• Crystal Phillips, PHARMD

  • Pharmacist
  • Lebanon, VA
  • NPI 1154906402
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1568487387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1406",
            "address_2": "301 CHURCH STREET",
            "city": "WISE",
            "state": "VA",
            "postal_code": "242931406",
            "telephone_number": "276-328-9141",
            "fax_number": "276-328-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CHURCH ST",
            "city": "WISE",
            "state": "VA",
            "postal_code": "24293",
            "telephone_number": "276-328-9141",
            "fax_number": "276-328-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAVALIER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "276-328-9141",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202012914",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201003976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010076366",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Buchanan, LPC
• Jack Butler
• Eleanor Sue Cantrell, M.D.
• Johnnie K Carrico, MSN FNP
• Makayla Danielle Castle, SLP
• Kayley Church, PHARM D
• Rosetta Collins
• Commonwealth of Virginia State Board of Health (Wise County Health Department)
• Community Physicians Services Corporation
• Michael Cross

• Community/Retail Pharmacy in Wise, VA
• Providers in Wise, 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 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.