Active NPI
John W Bass Jr., RPH
- Pharmacist
- South Boston, VA
National Provider Identifier
1851464465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202003779
- Practice address
- 4121 Halifax Road
South Boston, VA 24592 - Phone
- (434) 575-0511
- Fax
- (434) 575-1366
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202003779 | VA | Primary |
Addresses
Primary practice location
4121 Halifax Road
South Boston, VA 24592
Mailing address
PO Box 788
469 Lakeside Drive
Halifax, VA 24558
Phone (434) 476-6629
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202003779 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RB Hughes Drug Inc | Current | Accepting new patients | |
| Halifax Medical Equipment, Inc | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- South Boston, VA
- NPI 1578505871
-
- Durable Medical Equipment & Medical Supplies
- South Boston, VA
- NPI 1316945421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851464465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 788",
"address_2": "469 LAKESIDE DRIVE",
"city": "HALIFAX",
"state": "VA",
"postal_code": "24558",
"telephone_number": "434-476-6629",
"fax_number": "434-575-1366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4121 HALIFAX ROAD",
"city": "SOUTH BOSTON",
"state": "VA",
"postal_code": "24592",
"telephone_number": "434-575-0511",
"fax_number": "434-575-1366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "JOHN",
"middle_name": "W",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202003779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Boston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.