Appalachia Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201002199 Issued in VA

Legal business name

APPALACHIA PHARMACY INC

Practice address

125 Callahan Ave
Appalachia, VA 24216-1203

Phone

(276) 565-0445

Fax

(276) 565-1810

NPI assigned

Aug 31, 2006

Last updated

Aug 22, 2020By 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

Mr. James Earnest Rivers, RPH

Title

President/Owner

Phone

(276) 565-0445

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720199573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CALLAHAN AVE",
            "city": "APPALACHIA",
            "state": "VA",
            "postal_code": "242161203",
            "telephone_number": "276-565-0445",
            "fax_number": "276-565-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CALLAHAN AVE",
            "city": "APPALACHIA",
            "state": "VA",
            "postal_code": "242161203",
            "telephone_number": "276-565-0445",
            "fax_number": "276-565-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EARNEST",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "276-565-0445",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201002199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4815215",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Preservation Services, Inc
• Kyle Ashton Green, COTA
• Leonard Dwight Jessee, PHARM.D.

• Community/Retail Pharmacy in Appalachia, VA
• Providers in Appalachia, 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 22, 2020; 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.