Active NPI
Charles Collins
- Pharmacist
- Galax, VA
National Provider Identifier
1679983118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202004815
- Practice address
- 425 E Stuart Dr
Galax, VA 24333-2124 - Phone
- (276) 236-3402
- NPI assigned
- May 6, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202004815 | VA | Primary |
Addresses
Primary practice location
425 E Stuart Dr
Galax, VA 24333-2124
Mailing address
138 Archa St
Hillsville, VA 24343-1601
Phone (276) 728-2643
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202004815 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399334400000",
"number": "1679983118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 ARCHA ST",
"city": "HILLSVILLE",
"state": "VA",
"postal_code": "243431601",
"telephone_number": "276-728-2643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 E STUART DR",
"city": "GALAX",
"state": "VA",
"postal_code": "243332124",
"telephone_number": "276-236-3402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "CHARLES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-06",
"last_updated": "2014-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202004815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Galax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.