Organization Active NPI

Tabb Family Pharmacy Inc

  • Community/Retail Pharmacy
  • Yorktown, VA
National Provider Identifier
1902436017
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
TABB FAMILY PHARMACY INC
Practice address
1215 George Washington Mem Hwy Ste D
Yorktown, VA 23693-4316
Phone
(757) 522-7117
Fax
(757) 522-7115
NPI assigned
Jan 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Authorized official

Name
Bilal Ahmad Bhutta
Title
President
Phone
(757) 522-7117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1215 George Washington Mem Hwy Ste D
Yorktown, VA 23693-4316

Mailing address

406 Honeysuckle LN
Yorktown, VA 23693-5708
Phone (757) 522-7117

Other names 1

  • Tabb Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200928000477 VA Part B Supplier - Mass Immunization (Roster Biller Only) 8820417769 Practice locations: Yorktown, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1902436017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 HONEYSUCKLE LN",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236935708",
            "telephone_number": "757-522-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 GEORGE WASHINGTON MEM HWY STE D",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236934316",
            "telephone_number": "757-522-7117",
            "fax_number": "757-522-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABB FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "BHUTTA",
        "authorized_official_first_name": "BILAL",
        "authorized_official_middle_name": "AHMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-522-7117"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tabb Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yorktown, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.