Wytheville Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WYTHEVILLE PHARMACY LLC

Practice address

835 E Main St
Wytheville, VA 24382-3303

Phone

(276) 200-1200

Fax

(833) 623-3048

NPI assigned

Oct 9, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Ervin Counts, RPHNPI 1073104543

Title

Owner

Phone

(276) 865-5560

Specialties & licenses 2

Addresses

Other names 1

• Counts Family Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ervin Counts, PHARMACIST

  • Pharmacist
  • Haysi, VA
  • NPI 1073104543
  NPD Authorized official

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1922889807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 453",
            "city": "HAYSI",
            "state": "VA",
            "postal_code": "242560453",
            "telephone_number": "276-865-5560",
            "fax_number": "276-865-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 E MAIN ST",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243823303",
            "telephone_number": "276-200-1200",
            "fax_number": "833-623-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYTHEVILLE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "COUNTS",
        "authorized_official_first_name": "ERVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-865-5560",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counts Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Counts Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Elisa Marie Zuber, PT
• James Christopher Zwanch, D.O.

• Community/Retail Pharmacy in Wytheville, VA
• Providers in Wytheville, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.