NPIMap

Organization Active NPI

TPS Compounding and Long Term Care Pharmacy LLC

  • Long Term Care Pharmacy
  • Williamsburg, VA
National Provider Identifier
1801410642
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
TPS COMPOUNDING AND LONG TERM CARE PHARMACY LLC
Practice address
4097 Ironbound Rd Ste B
Williamsburg, VA 23188-2676
Phone
(757) 206-1630
Fax
(757) 612-4434
NPI assigned
Jun 6, 2020
Last updated
Sep 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Authorized official

Name
Henry Kyle RangerNPI 1083178172
Title
Owner
Phone
(757) 206-1630

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

4097 Ironbound Rd Ste B
Williamsburg, VA 23188-2676

Mailing address

5223 Monticello Ave Ste C
Williamsburg, VA 23188-8236
Phone (757) 603-1245

National Provider Directory

National Provider Directory
Tax ID family
The Prescription Shoppe LTC Pharmacy2 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.

Locations

5223 Monticello Ave
Ste C
Williamsburg, VA 23188
Phone (757) 206-1630

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1591401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1801410642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5223 MONTICELLO AVE STE C",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888236",
            "telephone_number": "757-603-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4097 IRONBOUND RD STE B",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882676",
            "telephone_number": "757-206-1630",
            "fax_number": "757-612-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TPS COMPOUNDING AND LONG TERM CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-06",
        "last_updated": "2023-09-05",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "RANGER",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-206-1630"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.