Bland County Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201001869 Issued in VA

Legal business name

BLAND COUNTY PHARMACY

Doing business as

Bland County Pharmacy

Practice address

12315 Grapefield Rd
Bastian, VA 24314-4547

Phone

(276) 688-4204

Fax

(276) 688-2450

NPI assigned

Sep 20, 2006

Last updated

Jan 18, 2017By 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

Cheryl Kegley

Title

Pic

Phone

(276) 688-4204

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• BLAND COUNTY PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1710084553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12315 GRAPEFIELD RD",
            "city": "BASTIAN",
            "state": "VA",
            "postal_code": "243144547",
            "telephone_number": "276-688-4204",
            "fax_number": "276-688-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12315 GRAPEFIELD RD",
            "city": "BASTIAN",
            "state": "VA",
            "postal_code": "243144547",
            "telephone_number": "276-688-4204",
            "fax_number": "276-688-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAND COUNTY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "KEGLEY",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "276-688-4204"
    },
    "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": "0201001869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2103596",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8512400",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLAND COUNTY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Suzanne Armstrong, FNP-BC
• ASC of Bastian, LLC (Bland County Nursing & Rehab)
• Shyann Benenhaley, NP
• Bland County Medical Clinic, Inc.
• Bland County Public Schools
• Monica Lynn Blankenship, PHARMD
• Ladonna Renae Bowling, DO
• Stacy A Buchebner, RPH
• Mary Jo Collie, FNP C

• Community/Retail Pharmacy in Bastian, VA
• Providers in Bastian, 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 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.