M. Timberlake Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201000435 Issued in VA

Legal business name

M. TIMBERLAKE INC

Doing business as

M TIMBERLAKE INC

Practice address

322 E Main St
Charlottesville, VA 22902-5234

Phone

(434) 295-9155

Fax

(434) 295-5860

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

John Plantz, RPH

Title

Owner and Ceo

Phone

(434) 295-9155

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• M TIMBERLAKE INC Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Plantz

  • Pharmacist
  • Charlottesville, VA
  • NPI 1598357568
  NPD

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402531200000",
    "number": "1740213248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2022",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229022022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 E MAIN ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025234",
            "telephone_number": "434-295-9155",
            "fax_number": "434-295-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. TIMBERLAKE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2014-06-12",
        "status": "A",
        "authorized_official_last_name": "PLANTZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER AND CEO",
        "authorized_official_telephone_number": "434-295-9155",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201000435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008503605",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2102419",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M TIMBERLAKE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Betty Hash Lyon, D.D.S.
• John Steven Lyon, D.D.S.
• Elizabeth A. Lyons, M.D.
• Kai Bader Lyons, CPM, LM
• M Clinic, LLC
• Linglei Ma, MD
• Wei Feng Ma, MD
• Katherine Macallister, NP STUDENT
• Alison F Maccleery
• Gavin J. Maccleery, P.A.

• Community/Retail Pharmacy in Charlottesville, VA
• Providers in Charlottesville, 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 Jun 12, 2014; 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.