Bridgewater Healthcare Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

0201003079 Issued in VA

Legal business name

BRIDGEWATER HEALTHCARE PHARMACY

Practice address

302 N 2ND St
Bridgewater, VA 22812-1712

Phone

(540) 828-2787

Fax

(540) 828-7011

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Miss Terry Simmons, RPH

Title

Pharmacist

Phone

(540) 828-2787

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912913161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N 2ND ST",
            "city": "BRIDGEWATER",
            "state": "VA",
            "postal_code": "228121712",
            "telephone_number": "540-828-2787",
            "fax_number": "540-828-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N 2ND ST",
            "city": "BRIDGEWATER",
            "state": "VA",
            "postal_code": "228121712",
            "telephone_number": "540-828-2787",
            "fax_number": "540-828-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWATER HEALTHCARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "540-828-2787",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0201003079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Bridgewater, VA
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.