Nta, LTD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201001307 Issued in VA

Legal business name

NTA, LTD

Practice address

18014 Jefferson Davis Hwy
Ruther Glen, VA 22546-2922

Phone

(804) 448-2606

Fax

(804) 448-0159

NPI assigned

May 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William Walden Abernathy, RPHNPI 1003874215

Title

President/Pharmacist-in-Charge

Phone

(804) 448-2606

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ladysmith Pharmacy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Walden Abernathy, RPH

  • Pharmacist
  • Ruther Glen, VA
  • NPI 1003874215
  NPD (past) Authorized official

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669430641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "LADYSMITH",
            "state": "VA",
            "postal_code": "225010010",
            "telephone_number": "804-448-2606",
            "fax_number": "804-448-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18014 JEFFERSON DAVIS HWY",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "225462922",
            "telephone_number": "804-448-2606",
            "fax_number": "804-448-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NTA, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABERNATHY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "WALDEN",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "804-448-2606",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201001307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4813918",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ladysmith Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Ruther Glen, VA
• Providers in Ruther Glen, 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.