Organization Active NPI

Tigerx Pharmacy Inc

  • Pharmacy
  • Honaker, VA
National Provider Identifier
1902828932
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
0201003757 Issued in VA
Legal business name
TIGERX PHARMACY INC
Doing business as
Tigerx Pharmacy Inc
Practice address
5638 Redbud Highway
Honaker, VA 24260
Phone
(276) 873-4700
Fax
(276) 873-6091
NPI assigned
Jul 25, 2006
Last updated
Feb 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Authorized official

Name
Benjamin Price, PHARM.D.NPI 1538473871
Title
Owner Pharmacist
Phone
(276) 873-4700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 0201003757 VA Primary
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

5638 Redbud Highway
Honaker, VA 24260

Mailing address

PO Box 1887
Honaker, VA 24260-1887
Phone (276) 873-4700

Other identifiers 2

IdentifierTypeStateIssuer
2105213OtherPK
8502871MedicaidVA

Other names 1

  • TIGERX PHARMACY INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930028728 VA DME Supplier - Pharmacy 9436295771 Practice locations: Honaker, VA
O20200428000290 VA Part B Supplier - Pharmacy 9436295771 Practice locations: Honaker, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2016395Tigerx Pharmacy5638 Redbud Highway, Honaker, VA 24260Certificate of waiverNov 16, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Tigerx Pharmacy Inc5638 Redbud Highway, Honaker, VA 24260-1887(276) 873-4700 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Ostomy Supplies|Nebulizer Equipment and/or Supplies Does not accept assignmentParticipating since Sep 12, 2009

National Provider Directory

National Provider Directory

Locations

5638 Redbud Hwy
Honaker, VA 24260
Phone (276) 873-4700

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1902828932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1887",
            "city": "HONAKER",
            "state": "VA",
            "postal_code": "242601887",
            "telephone_number": "276-873-4700",
            "fax_number": "276-873-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5638 REDBUD HIGHWAY",
            "city": "HONAKER",
            "state": "VA",
            "postal_code": "24260",
            "telephone_number": "276-873-4700",
            "fax_number": "276-873-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIGERX PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "276-873-4700",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0201003757",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2105213",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8502871",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TIGERX PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honaker, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.