Active NPI
Maysons Pharmacy Inc
- Community/Retail Pharmacy
- Marshall, VA
National Provider Identifier
1609326305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 0201004748
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2164570 | Other | PK |
Other names 1
- MAYSONS PHARMACY
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Marshall, VA
- NPI 1447938394
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.