Piedmont Access to Health Services, Inc

Organization Active NPI Community/Retail Pharmacy · South Boston, VA

NPI 1821748856 · NPPES record last updated Feb 26, 2025

Key facts

NPI
1821748856
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
Legal business name
PIEDMONT ACCESS TO HEALTH SERVICES, INC
Practice address
2524 Houghton Avenue
South Boston, VA 24592
Phone
(434) 575-0153
NPI assigned
Mar 24, 2022
Organization subpart
Yes
Parent organization (as reported)
PIEDMONT ACCESS TO HEALTH SERVICES, INC

Authorized official

Name
Robert Anthony Pratt, RPH
Title
Chief Operating Officer
Phone
(434) 791-3630

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 16

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 37

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20240529004229 VA Part B Supplier - Pharmacy 3476512427 Practice locations: South Boston, VA

National Provider Directory

Tax ID family
Piedmont Access to Health S (17 organizations share this tax ID)
Part of
Piedmont Access to Health S

Locations

1627 Seymour Dr
South Boston, VA 24592
Phone (434) 517-0611

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Yes

Addresses

Primary practice location

2524 Houghton Avenue
South Boston, VA 24592

Mailing address

705 Main St
Danville, VA 24541-1803
Phone (434) 791-3630

Other names

  • PATHS Community Pharmacy Doing business as

Other providers in South Boston, VA

All providers in South Boston, VA · Community/Retail Pharmacy in Virginia

Sources for this page

Verify at the official NPI Registry.