DVC Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

15100 Issued in MS

Legal business name

DVC PHARMACY LLC

Doing business as

DVC Pharmacy

Practice address

1107 Earl Frye Blvd
Suite #1
Amory, MS 38821-5519

Phone

(662) 257-2357

Fax

(662) 257-2399

NPI assigned

Jan 17, 2017

Last updated

Feb 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Stoddard

Title

Office Manager

Phone

(662) 513-6600

Specialties & licenses 2

Addresses

Other names 1

• DVC Pharmacy Doing business as

Locations

Practitioners 1

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.

• Vern M Christensen, DPM

  • Foot Surgery Podiatrist
  • Amory, MS
  • NPI 1083674378
  NPD (past)

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1922544865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388210511",
            "telephone_number": "662-257-2357",
            "fax_number": "662-257-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 EARL FRYE BLVD",
            "address_2": "SUITE #1",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388215519",
            "telephone_number": "662-257-2357",
            "fax_number": "662-257-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DVC PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "STODDARD",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "662-513-6600"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "15100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DVC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamie Suzanne Davis, LPC
• Melinda Dickerson, PT, DPT
• Diversicare of Amory, LLC (Diversicare of Amory)
• Drayer Physical Therapy Institute LLC (Rehab At Work)
• Drayer Physical Therapy Mississippi LLC (Rehab At Work)
• East Amory Elementary School
• Daniel Murry Eddings, NP
• Melvin Richard Edgil II, D.C.
• Miah Edmonds-Culpepper, DPT
• Eliza Cares Homecare, LLC

• Community/Retail Pharmacy in Amory, MS
• Providers in Amory, MS by specialty
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.