Shawsville Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201002356 Issued in VA

Legal business name

SHAWSVILLE PHARMACY INC

Practice address

6920 Roanoke Rd
Shawsville, VA 24162

Phone

(540) 268-2555

Fax

(540) 268-5009

NPI assigned

Mar 14, 2006

Last updated

Oct 15, 2015By 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

William Fauber

Title

Pharmacist Co Owner

Phone

(540) 268-2555

Specialties & licenses 2

Addresses

Other identifiers 5

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1639148521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "SHAWSVILLE",
            "state": "VA",
            "postal_code": "241620308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 ROANOKE RD",
            "city": "SHAWSVILLE",
            "state": "VA",
            "postal_code": "24162",
            "telephone_number": "540-268-2555",
            "fax_number": "540-268-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWSVILLE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "FAUBER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PHARMACIST CO OWNER",
        "authorized_official_telephone_number": "540-268-2555"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201002356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770910655",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4844949",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009132341",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4820470",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008515671",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deasha Manns
• Julia Price Moore, PMHNP
• Hannah Hughes Pratt, LPTA
• Jonathan Dwyte Robinson, DMD
• Shawsville Pharmacy Inc
• Emily Cousineau Sherburne, PA-C

• Community/Retail Pharmacy in Shawsville, VA
• Providers in Shawsville, 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 Oct 15, 2015; 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.