Organization Active NPI

Horizon Healthcare

  • Long Term Care Pharmacy
  • Wytheville, VA
National Provider Identifier
1770601296
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
0201003165 Issued in VA
Legal business name
HORIZON HEALTHCARE
Practice address
185 Stafford Umberger Rd
Wytheville, VA 24382-4439
Phone
(276) 228-5940
Fax
(276) 228-9292
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Authorized official

Name
Dennis Counts
Title
President
Phone
(276) 228-5940

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 0201003165 VA Primary
Long Term Care Pharmacy 3336L0003X M00559211 WV
Long Term Care Pharmacy 3336L0003X 08170 NC
Long Term Care Pharmacy 3336L0003X 0000003903 TN

Addresses

Primary practice location

185 Stafford Umberger Rd
Wytheville, VA 24382-4439

Mailing address

185 Stafford Umberger Rd
Wytheville, VA 24382-4439
Phone (276) 228-5940

Other identifiers 3

IdentifierTypeStateIssuer
4827967MedicaidVA
4827967MedicaidTN
4827967OtherVANCPDP

National Provider Directory

National Provider Directory
Tax ID family
Horizon Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1770601296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 STAFFORD UMBERGER RD",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243824439",
            "telephone_number": "276-228-5940",
            "fax_number": "276-228-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 STAFFORD UMBERGER RD",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243824439",
            "telephone_number": "276-228-5940",
            "fax_number": "276-228-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "COUNTS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-228-5940"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "VA",
            "license": "0201003165",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WV",
            "license": "M00559211",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NC",
            "license": "08170",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TN",
            "license": "0000003903",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4827967",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4827967",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4827967",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wytheville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.