Imgrx East, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

IMGRX EAST, LLC

Doing business as

Southwest Virginia Community Pharmacy

Practice address

2195 Euclid Ave Ste 6
Bristol, VA 24201-3655

Phone

(512) 596-2930

Fax

(760) 859-3614

NPI assigned

Sep 20, 2016

Last updated

Jan 1, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Rew

Title

General Counsel & Coo

Phone

(510) 770-6343

Specialties & licenses 1

Addresses

Other names 1

• Southwest Virginia Community Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546300800000",
    "number": "1699223578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 HARRISON ST STE 1530",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946124730",
            "telephone_number": "510-770-6343",
            "fax_number": "512-233-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 EUCLID AVE STE 6",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013655",
            "telephone_number": "512-596-2930",
            "fax_number": "760-859-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMGRX EAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2019-01-01",
        "status": "A",
        "authorized_official_last_name": "REW",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "GENERAL COUNSEL & COO",
        "authorized_official_telephone_number": "510-770-6343"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Virginia Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southwest Virginia Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Dawn Hodges, LPC, CSAC, NCC
• Holston Um Home for Children (Holston Family Services)
• Horizon Family Medicine of Bristol, Inc
• Jonathan David Hunter, OTR/L
• Vicky Hutson, FNP-BC
• Immediate Care, LLC (Med Express)
• Infinity Healthcare
• Inspire Laboratories LLC
• Iwc Services Virginia PLLC
• Cynthia Hess Jackson, RPH

• Community/Retail Pharmacy in Bristol, VA
• Providers in Bristol, 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 Jan 1, 2019; 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.