NPIMap

Organization Active NPI

Timberville Drug Store Inc

  • Community/Retail Pharmacy
  • Timberville, VA
National Provider Identifier
1841286580
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201000826 Issued in VA
Legal business name
TIMBERVILLE DRUG STORE INC
Doing business as
Timberville Drug Store Inc
Practice address
305 S Main Street
Timberville, VA 22853
Phone
(540) 896-3171
Fax
(540) 896-3145
NPI assigned
Sep 27, 2005
Last updated
May 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Authorized official

Name
Johnny GarberNPI 1740382910
Title
President
Phone
(540) 896-3171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 0201000826 VA Primary

Addresses

Primary practice location

305 S Main Street
Timberville, VA 22853

Mailing address

PO Box 358
Timberville, VA 22853-0358
Phone (540) 896-3171

Other identifiers 2

IdentifierTypeStateIssuer
008503311MedicaidVA
4817118OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • TIMBERVILLE DRUG STORE INC Doing business as

National Provider Directory

National Provider Directory

Locations

305 S Main St
Timberville, VA 22853
Phone (540) 896-3171

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1841286580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 358",
            "city": "TIMBERVILLE",
            "state": "VA",
            "postal_code": "228530358",
            "telephone_number": "540-896-3171",
            "fax_number": "540-896-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S MAIN STREET",
            "city": "TIMBERVILLE",
            "state": "VA",
            "postal_code": "22853",
            "telephone_number": "540-896-3171",
            "fax_number": "540-896-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERVILLE DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "GARBER",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-896-3171"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201000826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008503311",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4817118",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TIMBERVILLE DRUG STORE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Timberville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.