Organization Active NPI

Meadowbrook Health Service Inc

Doing business as Meadowbrook Pharmacy

  • Community/Retail Pharmacy
  • Charlottesville, VA
National Provider Identifier
1669579405
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201002013 Issued in VA
Legal business name
MEADOWBROOK HEALTH SERVICE INC
Doing business as
Meadowbrook Pharmacy
Practice address
2037 Barracks Rd
Charlottesville, VA 22903-1206
Phone
(434) 296-4135
Fax
(434) 220-0438
NPI assigned
Sep 20, 2006
Last updated
Apr 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Authorized official

Name
William Lamar
Title
RPH/Treasuer/President
Phone
(540) 718-5423

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 0201002013 VA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

2037 Barracks Rd
Charlottesville, VA 22903-1206

Mailing address

PO Box 160
Madison, VA 22727-0160
Phone (434) 296-4135

Other identifiers 2

IdentifierTypeStateIssuer
8514747MedicaidVA
2102420OtherPK

Other names 1

  • MEADOWBROOK PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

2037 Barracks Rd
Charlottesvle, VA 22903
Phone (434) 296-4135

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1669579405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "MADISON",
            "state": "VA",
            "postal_code": "227270160",
            "telephone_number": "434-296-4135",
            "fax_number": "434-220-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 BARRACKS RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229031206",
            "telephone_number": "434-296-4135",
            "fax_number": "434-220-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWBROOK HEALTH SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "LAMAR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "RPH/TREASUER/PRESIDENT",
        "authorized_official_telephone_number": "540-718-5423"
    },
    "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": "0201002013",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8514747",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2102420",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEADOWBROOK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.