Organization Active NPI

Maysons Pharmacy Inc

  • Community/Retail Pharmacy
  • Marshall, VA
National Provider Identifier
1609326305
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201004748 Issued in VA
Legal business name
MAYSONS PHARMACY INC
Practice address
4199 Winchester Rd
Marshall, VA 20115-3269
Phone
(703) 622-0376
Fax
(540) 364-8293
NPI assigned
Oct 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Authorized official

Name
Scott Kim
Title
Pic
Phone
(703) 622-0376

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 0201004748 VA Primary

Addresses

Primary practice location

4199 Winchester Rd
Marshall, VA 20115-3269

Mailing address

4199 Winchester Rd
Marshall, VA 20115-3269
Phone (703) 622-0376

Other identifiers 1

IdentifierTypeStateIssuer
2164570OtherPK

Other names 1

  • MAYSONS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

4199 Winchester Rd
Ste F1
Marshall, VA 20115
Phone (540) 364-8291

4199 Winchester Rd
Marshall, VA 20115
Phone (540) 364-8292

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": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1609326305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4199 WINCHESTER RD",
            "city": "MARSHALL",
            "state": "VA",
            "postal_code": "201153269",
            "telephone_number": "703-622-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4199 WINCHESTER RD",
            "city": "MARSHALL",
            "state": "VA",
            "postal_code": "201153269",
            "telephone_number": "703-622-0376",
            "fax_number": "540-364-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYSONS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "703-622-0376"
    },
    "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": "0201004748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2164570",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAYSONS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marshall, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.