VSLV Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Tappahannock, VA
NPI 1811096753 · NPPES record last updated Jul 16, 2012
Key facts
- NPI
- 1811096753
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- VSLV PHARMACY INC
- Practice address
- 517 N Church Lane
Tappahannock, VA 22560 - Phone
- (804) 443-3461
- Fax
- (804) 443-6846
- NPI assigned
- Sep 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Ramakrishna Sannidhi
- Title
- Owner/Pres
- Phone
- (804) 443-3461
Member organizations 1
Practitioners 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190228002725 | VA | Part B Supplier - Mass Immunization (Roster Biller Only) | 1951581842 | Practice locations: Tappahannock, VA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 0201000806 | VA | |
| Community/Retail Pharmacy | 3336C0003X | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8506426 | Medicaid | VA | |
| 4803905 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names
- TAPPAHANNOCK PHARMACY
Other providers in Tappahannock, VA
- United Choice Healthcare Staffing
- Taylor Whitten Vaughan
- Vcu Health Tappahannock Hospital
- Vcu Health Tappahannock Hospital
- Venture Health Corp
- Wal-Mart Stores East LP
- Wal-Mart Stores East, LP
- Walgreen Co
- Doris Walters
- Pamela R Webb
All providers in Tappahannock, VA · Community/Retail Pharmacy in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.