Organization Active NPI

Brookneal Drug Co Inc

  • Durable Medical Equipment & Medical Supplies
  • Brookneal, VA
National Provider Identifier
1831224302
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BROOKNEAL DRUG CO INC
Practice address
120 Rush Street
Pharmacy
Brookneal, VA 24528-0066
Phone
(434) 376-2220
Fax
(434) 376-3199
NPI assigned
Feb 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James W Harper, REGISTERED PHARMACIS
Title
Owner Pharmacist in Charge
Phone
(434) 376-2220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

120 Rush Street
Pharmacy
Brookneal, VA 24528-0066

Mailing address

PO Box 66
Brookneal, VA 24528-0066
Phone (434) 376-2220

Other identifiers 1

IdentifierTypeStateIssuer
8502803MedicaidVA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831224302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66",
            "city": "BROOKNEAL",
            "state": "VA",
            "postal_code": "245280066",
            "telephone_number": "434-376-2220",
            "fax_number": "434-376-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 RUSH STREET",
            "address_2": "PHARMACY",
            "city": "BROOKNEAL",
            "state": "VA",
            "postal_code": "245280066",
            "telephone_number": "434-376-2220",
            "fax_number": "434-376-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKNEAL DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "434-376-2220",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "REGISTERED PHARMACIS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8502803",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookneal, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.