Michaels Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201003687 Issued in VA

Legal business name

MICHAELS PHARMACY

Doing business as

Michaels Pharmacy

Practice address

101 Charwood Dr
Abingdon, VA 24210-2576

Phone

(276) 676-2900

Fax

(276) 676-2915

NPI assigned

Mar 10, 2006

Last updated

Jan 17, 2012By 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

Michael Johnson, RPHNPI 1538123955

Title

Pres Pic

Phone

(276) 676-2900

Specialties & licenses 6

Addresses

Other identifiers 3

Other names 1

• MICHAELS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 3

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.

• Michael Kenneth Johnson, RPH

  • Pharmacist
  • Abingdon, VA
  • NPI 1538123955
  NPD Authorized official
• Ruthella Snider Jenkins, RPH

  • Pharmacist
  • Abingdon, VA
  • NPI 1831792274
  NPD
• Rahulkumar Mangubhai Patel, PHARM D.

  • Pharmacist
  • Abingdon, VA
  • NPI 1811590664
  NPD (past)

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1861460131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CHARWOOD DR",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102576",
            "telephone_number": "276-676-2900",
            "fax_number": "276-676-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CHARWOOD DR",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102576",
            "telephone_number": "276-676-2900",
            "fax_number": "276-676-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAELS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRES PIC",
        "authorized_official_telephone_number": "276-676-2900",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201003687",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009106588",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008507261",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4835154",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MICHAELS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keith A Medeiros, LPC
• Tracy Lyn Meek, LCSW
• Margaret Merrick
• Ashton N Merriman, LPC
• Sana Omer Mian, MD, MPH
• Miller Castle Construction, LLC
• Kandace Leanne Miller Phillips, BS CSAC
• Miller Therapy Services PLLC
• Alicia Miller, OT
• David Duane Miller, LCSW

• Community/Retail Pharmacy in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.