NGD Incorporated

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201004406 Issued in VA

Legal business name

NGD INCORPORATED

Practice address

1063 Edgewater Dr.
Grundy, VA 24614

Phone

(276) 244-1133

Fax

(276) 244-1188

NPI assigned

Jun 21, 2011

Organization subpart

No

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

Authorized official

Name

Brian Fields

Title

President

Phone

(276) 698-1886

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Super Dollar Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1881980647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632",
            "city": "GRUNDY",
            "state": "VA",
            "postal_code": "246140632",
            "telephone_number": "276-244-1133",
            "fax_number": "276-244-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 EDGEWATER DR.",
            "city": "GRUNDY",
            "state": "VA",
            "postal_code": "24614",
            "telephone_number": "276-244-1133",
            "fax_number": "276-244-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGD INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-698-1886"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4843036",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Super Dollar Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Brooke Mitchell, PHARM D
• Shelia A Mullins
• Susan Christine Mullooly, D.O.
• Matthew Murphy, DPT
• Coetta Lynn Neece, NP-C
• Ohio Valley Physicians Inc
• Madhava T Pally, M.D., P.A.
• Dilipkumar R Patel, M.D.
• Dinkar N Patel, M.D.
• Haresh J Patel, M.D.

• All providers in Grundy, VA
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.