Organization Active NPI

Midlothian Apothecary Inc

Doing business as Midlothian Apothecary

  • Community/Retail Pharmacy
  • Midlothian, VA
National Provider Identifier
1629177589
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201002868 Issued in VA
Legal business name
MIDLOTHIAN APOTHECARY INC
Doing business as
Midlothian Apothecary
Practice address
13502 Midlothian Tpke
Midlothian, VA 23113-4214
Phone
(804) 794-5592
Fax
(804) 379-9943
NPI assigned
Sep 21, 2006
Last updated
Apr 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Authorized official

Name
Irving DarbyNPI 1306438619
Title
Sec Treasurer Owner
Phone
(804) 794-5592

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 0201002868 VA Primary

Addresses

Primary practice location

13502 Midlothian Tpke
Midlothian, VA 23113-4214

Mailing address

13502 Midlothian Tpke
Midlothian, VA 23113-4214
Phone (804) 794-5592

Other identifiers 2

IdentifierTypeStateIssuer
8536040MedicaidVA
2105691OtherPK

Other names 1

  • MIDLOTHIAN APOTHECARY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930013433 VA DME Supplier - Pharmacy 0547387433 Practice locations: Midlothian, VA
O20121102000414 VA Part B Supplier - Mass Immunization (Roster Biller Only) 0547387433 Practice locations: Midlothian, VA
O20200806003493 VA Part B Supplier - Independent Clinical Laboratory 0547387433 Practice locations: Midlothian, VA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0888706Midlothian Apothecary13502 Midlothian Turnpike, Midlothian, VA 23113Certificate of waiverJun 1, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Midlothian Apothecary Inc13502 Midlothian Tpke, Midlothian, VA 23113-4214(804) 794-5592 Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

13502 Midlothian Tpke
Midlothian, VA 23113
Phone (804) 794-5592

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1629177589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13502 MIDLOTHIAN TPKE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134214",
            "telephone_number": "804-794-5592",
            "fax_number": "804-379-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13502 MIDLOTHIAN TPKE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134214",
            "telephone_number": "804-794-5592",
            "fax_number": "804-379-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLOTHIAN APOTHECARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "DARBY",
        "authorized_official_first_name": "IRVING",
        "authorized_official_title_or_position": "SEC TREASURER OWNER",
        "authorized_official_telephone_number": "804-794-5592"
    },
    "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": "0201002868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8536040",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2105691",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIDLOTHIAN APOTHECARY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.