Valley Pharmacies Inc

Organization Active NPI Community/Retail Pharmacy · Grottoes, VA

NPI 1821171950 · NPPES record last updated Dec 1, 2016

Key facts

NPI
1821171950
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
0201001916 (VA)
Legal business name
VALLEY PHARMACIES INC
Practice address
402 Augusta Avenue
Grottoes, VA 24441
Phone
(540) 249-5881
Fax
(540) 249-3232
NPI assigned
Oct 23, 2006
Organization subpart
No

Authorized official

Name
Daniel Atwell
Title
Pres
Phone
(540) 249-4802

National Provider Directory

Locations

402 Augusta Ave
Grottoes, VA 24441
Phone (540) 249-5881

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 0201001916 VA Yes

Addresses

Primary practice location

402 Augusta Avenue
Grottoes, VA 24441

Mailing address

PO Box 338
Grottoes, VA 24441-0338

Other identifiers

IdentifierTypeStateIssuer
2103672OtherPK
8517622MedicaidVA

Other names

  • GROTTOES PHARMACY Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 1, 2016.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1821171950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "GROTTOES",
            "state": "VA",
            "postal_code": "244410338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 AUGUSTA AVENUE",
            "city": "GROTTOES",
            "state": "VA",
            "postal_code": "24441",
            "telephone_number": "540-249-5881",
            "fax_number": "540-249-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PHARMACIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "ATWELL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "540-249-4802"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201001916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2103672",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8517622",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GROTTOES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grottoes, VA

All providers in Grottoes, VA · Community/Retail Pharmacy in Virginia

Sources for this page

Verify at the official NPI Registry.