Professional Pharmaceutical Services, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201001918 Issued in VA

Legal business name

PROFESSIONAL PHARMACEUTICAL SERVICES, INC.

Doing business as

Buntings & Northside Drugcenter

Practice address

1883 Euclid Ave
Bristol, VA 24201-3605

Phone

(276) 466-3600

Fax

(276) 466-3578

NPI assigned

Jul 19, 2006

Last updated

Aug 19, 2008By 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

Dr. John Millard Vandeventer, PHARM. D.NPI 1598849515

Title

Owner Pharmacist

Phone

(276) 466-3600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Buntings & Northside Drugcenter Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Millard Vandeventer, PHARM. D.

  • Pharmacist
  • Bristol, VA
  • NPI 1598849515
  Authorized official Same address or phone

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1700805934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1883 EUCLID AVE",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013605",
            "telephone_number": "276-466-3600",
            "fax_number": "276-466-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1883 EUCLID AVE",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013605",
            "telephone_number": "276-466-3600",
            "fax_number": "276-466-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PHARMACEUTICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "VANDEVENTER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MILLARD",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "276-466-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201001918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8513619",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buntings & Northside Drugcenter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Lynn Poe, LCSW
• Carissa Poston, PHARM D
• Christine Powers, M. S.
• Marilyn M Powers, M.S., LPC
• Proactive Therapy of Virginia, Inc. (NovaCare Outpatient Rehabilitation)
• Professional Therapies of Roanoke, Inc. (CORA Physical Therapy - North Bristol)
• Laken Bryanne Puckett, M.S. ATC
• Deborah Leachman Quesenberry, RDN, LDN
• Gracelyn K Ralston, STUDENT NURSE TECH
• Brady Bernard Ratliff, PHARMD

• 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 Aug 19, 2008; 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.