Berryville Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

0201001553 Issued in VA

Legal business name

BERRYVILLE PHARMACY

Practice address

8 W Main St
Berryville, VA 22611-1341

Phone

(540) 955-2063

Fax

(540) 955-3365

NPI assigned

Sep 20, 2006

Last updated

Mar 16, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Randall Vinson

Title

Owner

Phone

(540) 955-3095

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1841397684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 W MAIN ST",
            "city": "BERRYVILLE",
            "state": "VA",
            "postal_code": "226111341",
            "telephone_number": "540-955-1058",
            "fax_number": "540-955-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 W MAIN ST",
            "city": "BERRYVILLE",
            "state": "VA",
            "postal_code": "226111341",
            "telephone_number": "540-955-2063",
            "fax_number": "540-955-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRYVILLE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "VINSON",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-955-3095"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0201001553",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4804921",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8505071",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Bauman, PHD, LPC
• Behavioral Cusp
• Angela Renee Bell
• Berryville Medical Associates PLC
• Berryville Medical Associates, PLC
• Berryville Physical Therapy and Wellness, PLLC
• Kevin Alan Bradley, LPN
• Edith O. Buchan, PT
• David Byrd
• Brianne Marie Casey

• Pharmacy in Berryville, VA
• Providers in Berryville, VA by specialty
• Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; 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.