Centra Cancer Center Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CENTRA CANCER CENTER PHARMACY, LLC

Doing business as

Centra Cancer Center Pharmacy

Practice address

1701 Thomson Dr
Lynchburg, VA 24501

Phone

(434) 200-1435

Fax

(434) 200-7508

NPI assigned

Apr 16, 2018

Last updated

May 16, 2025By 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

Chris Thomson

Title

Chief Operating Officer

Phone

(434) 200-7740

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• CENTRA CANCER CENTER PHARMACY Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Centra Medical Group, LLC

  dba CMG Vascular Surgery

  • Vascular Surgery Physician
  • Lynchburg, VA
  • NPI 1144880782

  Member Of

  NPD member

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.

• Andrew Jacob Maggard, PHARMD

  • Pharmacist
  • Lynchburg, VA
  • NPI 1538845375
  NPD

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1871080853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 THOMSON DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011118",
            "telephone_number": "434-200-1435",
            "fax_number": "434-200-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 THOMSON DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24501",
            "telephone_number": "434-200-1435",
            "fax_number": "434-200-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRA CANCER CENTER PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "THOMSON",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "434-200-7740"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176972",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871080853",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRA CANCER CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CENTRA CANCER CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Lynchburg, VA
• Providers in Lynchburg, 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 May 16, 2025; 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.