Nickelsville Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

NICKELSVILLE PHARMACY INC

Doing business as

Nickelsville Pharmacy

Practice address

11708 Nickelsville Hwy
Nickelsville, VA 24271

Phone

(276) 479-2600

Fax

(276) 479-2652

NPI assigned

Jan 27, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Rick Mullins, PHARM.D.

Title

Owner

Phone

(276) 393-9825

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nickelsville Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1659761807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11708 NICKELSVILLE HIGHWAY",
            "city": "NICKELSVILLE",
            "state": "VA",
            "postal_code": "24271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11708 NICKELSVILLE HWY",
            "city": "NICKELSVILLE",
            "state": "VA",
            "postal_code": "24271",
            "telephone_number": "276-479-2600",
            "fax_number": "276-479-2652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICKELSVILLE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-393-9825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659761807",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nickelsville Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory L Demotts, MD
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• Lindsay Lee, CPM
• Mountain Region Family Medicine PC
• Nickelsville Rescue Squad
• Derick Steven Reedy, PMHNP-BC
• Jennifer L Reedy, FNP
• Meghan Elizabeth Salyer, CCC-SLP
• Team Mentation PLLC

• Pharmacy in Nickelsville, VA
• Providers in Nickelsville, VA by specialty
• Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.