Organization Active NPI

VSLV Pharmacy Inc

Doing business as Tappahannock Pharmacy

  • Community/Retail Pharmacy
  • Tappahannock, VA
National Provider Identifier
1811096753
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
VSLV PHARMACY INC
Doing business as
Tappahannock Pharmacy
Practice address
517 N Church Lane
Tappahannock, VA 22560
Phone
(804) 443-3461
Fax
(804) 443-6846
NPI assigned
Sep 21, 2006
Last updated
Jul 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Authorized official

Name
Ramakrishna Sannidhi
Title
Owner/Pres
Phone
(804) 443-3461

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 0201000806 VA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

517 N Church Lane
Tappahannock, VA 22560

Mailing address

PO Box 1819
517 Church Lane
Tappahannock, VA 22560-1819
Phone (804) 443-3461

Other names 1

  • TAPPAHANNOCK PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190228002725 VA Part B Supplier - Mass Immunization (Roster Biller Only) 1951581842 Practice locations: Tappahannock, VA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1811096753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1819",
            "address_2": "517 CHURCH LANE",
            "city": "TAPPAHANNOCK",
            "state": "VA",
            "postal_code": "225601819",
            "telephone_number": "804-443-3461",
            "fax_number": "804-443-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 N CHURCH LANE",
            "city": "TAPPAHANNOCK",
            "state": "VA",
            "postal_code": "22560",
            "telephone_number": "804-443-3461",
            "fax_number": "804-443-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VSLV PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "SANNIDHI",
        "authorized_official_first_name": "RAMAKRISHNA",
        "authorized_official_title_or_position": "OWNER/PRES",
        "authorized_official_telephone_number": "804-443-3461"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0201000806",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAPPAHANNOCK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tappahannock, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.