Active NPI
Meadowbrook Health Service Inc
Doing business as Meadowbrook Pharmacy
- Community/Retail Pharmacy
- Charlottesville, VA
National Provider Identifier
1669579405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 0201002013
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8514747 | Medicaid | VA | |
| 2102420 | Other | PK |
Other names 1
- MEADOWBROOK PHARMACY
National Provider Directory
National Provider DirectoryLocations
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.