Prince George Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201001872 Issued in VA

Legal business name

PRINCE GEORGE PHARMACY INC

Practice address

5720 Courthouse Rd
Prince George, VA 23875-3215

Phone

(804) 861-3400

Fax

(804) 861-2617

NPI assigned

Jun 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Brian Coey

Title

Owner

Phone

(804) 861-3400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669409801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 COURTHOUSE RD",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238753215",
            "telephone_number": "804-861-3400",
            "fax_number": "804-861-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 COURTHOUSE RD",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238753215",
            "telephone_number": "804-861-3400",
            "fax_number": "804-861-2617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCE GEORGE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-861-3400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201001872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8513414",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelyn Sara Prencavage, MOT OTR/L
• Prime Care Family Practice, P.C.
• Prince George Cosmetic & Family Dentistry, PC
• Prince George County
• Prince George County Public Schools
• Pure Path Counseling LLC
• Helen Lanier Ramirez
• Corey Todd Resnick, MD
• Riccobene & Associates CC, DDS, PC
• Karen L Richmond, FNP-C

• Community/Retail Pharmacy in Prince George, VA
• Providers in Prince George, 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 Aug 22, 2020; 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.