Anthony D Meade

Primary specialty

DriverTaxonomy code 172A00000X

License

T64017280 Issued in VA

Practice address

5222 McCleanan Town Road
Saint Paul, VA 24283-2616

Phone

(276) 219-0604

NPI assigned

Jan 31, 2020

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 31, 2020.

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1801427505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2515",
            "city": "COEBURN",
            "state": "VA",
            "postal_code": "242302515",
            "telephone_number": "423-483-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5222 MCCLEANAN TOWN ROAD",
            "city": "SAINT PAUL",
            "state": "VA",
            "postal_code": "242832616",
            "telephone_number": "276-219-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADE",
        "first_name": "ANTHONY",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "VA",
            "license": "T64017280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Renee Jessee-Breeding, PAC
• Andrea Johnson, PHARM.D.
• K-VA-T Food Stores Inc
• Julie Large, PHARM D
• Derek Lester McCowan
• Sabrina Mitchell, NP
• Mountain States Health Alliance
• Mountain States Health Alliance
• Mountain States Health Alliance
• Oxbow Corporation

• All providers in Saint Paul, VA
• Driver in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.