David June Enterprises LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201000680 Issued in VA

Legal business name

DAVID JUNE ENTERPRISES LLC

Doing business as

Halifax Pharmacy

Practice address

4121 Halifax Rd
Suite a
South Boston, VA 24592-4833

Phone

(434) 575-0511

Fax

(434) 575-1366

NPI assigned

Oct 3, 2006

Last updated

Sep 20, 2021By 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

Dr. Stephen Anderson, PHARMDNPI 1154948438

Title

Owner/Pharmacist

Phone

(434) 575-0511

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• HALIFAX PHARMACY Doing business as

Locations

Practitioners 1

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.

• Stephen Anderson, PHARMD

  • Pharmacist
  • South Boston, VA
  • NPI 1154948438
  Authorized official Same address or phone

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1861586687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 HALIFAX RD",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245924833",
            "telephone_number": "434-575-0511",
            "fax_number": "434-575-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 HALIFAX RD",
            "address_2": "SUITE A",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245924833",
            "telephone_number": "434-575-0511",
            "fax_number": "434-575-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID JUNE ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "434-575-0511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "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": "0201000680",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2102641",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009138498",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HALIFAX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HALIFAX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peyton Parrish Crozier, PA
• Della Coleman Cunningham, RNFA, CNOR, BSN, RN
• Boris M Darovsky, MD
• David June Enterprises LLC (Halifax LTC Pharmacy)
• David June Enterprises LLC (Halifax Pharmacy)
• Angeline Marie Davis, CRNA
• Richard W Davis, M.D.
• Degraw Chiropractic Center, Inc
• Christopher James Degraw, D.C.
• Dermone Dermatology Associates of Virginia PC

• Community/Retail Pharmacy in South Boston, VA
• Providers in South Boston, 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 Sep 20, 2021; 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.