Organization Active NPI

Park Drugs Inc

  • Pharmacy
  • Petersburg, VA
National Provider Identifier
1871508473
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
0201002359 Issued in VA
Legal business name
PARK DRUGS INC
Practice address
2710 S Crater Rd
Petersburg, VA 23805-2404
Phone
(804) 733-6222
Fax
(804) 733-7526
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Beverly Zweig Adato, RPH
Title
President
Phone
(804) 733-6222

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X 0201002359 VA Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

2710 S Crater Rd
Petersburg, VA 23805-2404

Mailing address

2710 S Crater Rd
Petersburg, VA 23805-2404
Phone (804) 733-6222

Other identifiers 2

IdentifierTypeStateIssuer
4808068OtherOTHER ID NUMBER-COMMERCIAL NUMBER
008500746MedicaidVA

National Provider Directory

National Provider Directory

Locations

2710 S Crater Rd
Petersburg, VA 23805
Phone (804) 733-6222

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1871508473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 S CRATER RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052404",
            "telephone_number": "804-733-6222",
            "fax_number": "804-733-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 S CRATER RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052404",
            "telephone_number": "804-733-6222",
            "fax_number": "804-733-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "ZWEIG ADATO",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-733-6222",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0201002359",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4808068",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008500746",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.