Active NPI
Midlothian Apothecary Inc
Doing business as Midlothian Apothecary
- Community/Retail Pharmacy
- Midlothian, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 0201002868
- 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, 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
- Irving Darby
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8536040 | Medicaid | VA | |
| 2105691 | Other | PK |
Other names 1
- MIDLOTHIAN APOTHECARY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D0888706 | Midlothian Apothecary | Certificate of waiver | Jun 1, 2028 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Midlothian Apothecary Inc | Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Midlothian, VA
- NPI 1306438619
-
- Pharmacist
- Midlothian, VA
- NPI 1629660931
-
- Student in an Organized Health Care Education/Training Program
- Charlottesville, VA
- NPI 1316520695
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.