Active NPI
Bellevue Pharmacy, Inc
- Long Term Care Pharmacy
- Richmond, VA
National Provider Identifier
1821021809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 0201003214
- Legal business name
- BELLEVUE PHARMACY, INC
- Practice address
- 4038 Macarthur Ave
Richmond, VA 23227 - Phone
- (804) 264-0458
- Fax
- (804) 264-4588
- NPI assigned
- Jul 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Lorenzo T. Murray Jr., RPH
- Title
- Owner/President
- Phone
- (804) 264-0458
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | 0201003214 | VA | Primary |
Addresses
Primary practice location
4038 Macarthur Ave
Richmond, VA 23227
Mailing address
PO Box 653
Midlothian, VA 23114
Phone (804) 264-0458
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008509115 | Medicaid | VA | |
| 1821021809 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
4038 MacArthur Ave
Richmond, VA 23227
Phone (804) 264-0458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1311120000000",
"number": "1821021809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 653",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "23114",
"telephone_number": "804-264-0458",
"fax_number": "804-264-4588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4038 MACARTHUR AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23227",
"telephone_number": "804-264-0458",
"fax_number": "804-264-4588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELLEVUE PHARMACY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2011-07-20",
"status": "A",
"authorized_official_last_name": "MURRAY",
"authorized_official_first_name": "LORENZO",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "804-264-0458",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "VA",
"license": "0201003214",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008509115",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1821021809",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.