Abingdon Apothecary, Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

0201004458 Issued in VA

Legal business name

ABINGDON APOTHECARY, INC

Doing business as

Mac's LTC Pharmacy

Practice address

611 Campus Dr Ste 800
Abingdon, VA 24210-9705

Phone

(276) 525-4357

Fax

(276) 525-4514

NPI assigned

May 18, 2012

Last updated

Jan 13, 2017By 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

Lori Burgess, PHARMD

Title

Pharmacist

Phone

(276) 525-4357

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Mac's LTC Pharmacy Doing business as

Tax ID family

Abingdon Apothecary Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Abingdon Apothecary, Inc.

  dba Northgate Pharmacy II

  • Community/Retail Pharmacy
  • Abingdon, VA
  • NPI 1386087245
  NPD tax ID

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.

• Thomas N Hutton, PHARMD

  • Pharmacist
  • Lebanon, VA
  • NPI 1184935579
  NPD (past)

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1861752339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 CAMPUS DR STE 800",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242109705",
            "telephone_number": "276-525-4357",
            "fax_number": "276-525-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 CAMPUS DR STE 800",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242109705",
            "telephone_number": "276-525-4357",
            "fax_number": "276-525-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABINGDON APOTHECARY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-18",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "276-525-4357",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "VA",
            "license": "0201004458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861752339",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135425",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mac's LTC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 600 Walden Opco LLC (Choice Healthcare at Abingdon)
• A-1 Diagnostics, LLC
• Abingdon Apothecary, Inc. (Northgate Pharmacy)
• Abingdon Apothecary, Inc. (Northgate Pharmacy II)
• Abingdon Center Counseling Group, Inc.
• Abingdon Chiropractic Center PC
• Abingdon Christian Counseling (William B Haynes Jr M ED LPC)

• Long Term Care Pharmacy in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Long Term Care Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.