NPIMap

Organization Active NPI

PCH Investors LLC

Doing business as RJ Reynolds Patrick County Memorial Hospital Pharmacy

  • Long Term Care Pharmacy
  • Stuart, VA
National Provider Identifier
1932141231
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
0201001168 Issued in VA
Legal business name
PCH INVESTORS LLC
Doing business as
RJ Reynolds Patrick County Memorial Hospital Pharmacy
Practice address
18688 Jeb Stuart Hwy
Stuart, VA 24171-1559
Phone
(276) 694-8627
Fax
(276) 694-8626
NPI assigned
Jun 12, 2006
Last updated
Aug 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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

Authorized official

Name
Janice Wilkins
Title
Administration
Phone
(276) 694-8678

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Long Term Care Pharmacy 3336L0003X 0201001168 VA Primary

Addresses

Primary practice location

18688 Jeb Stuart Hwy
Stuart, VA 24171-1559

Mailing address

18688 Jeb Stuart Hwy
Stuart, VA 24171-1559
Phone (276) 694-8627

Other identifiers 2

IdentifierTypeStateIssuer
010133611MedicaidVA
2105597OtherPK

Other names 1

  • RJ REYNOLDS PATRICK COUNTY MEMORIAL HOSPITAL PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
PCH Operations LLC Dba RJ Reynolds-Patrick County Memorial Hospital8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1932141231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18688 JEB STUART HWY",
            "city": "STUART",
            "state": "VA",
            "postal_code": "241711559",
            "telephone_number": "276-694-8627",
            "fax_number": "276-694-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18688 JEB STUART HWY",
            "city": "STUART",
            "state": "VA",
            "postal_code": "241711559",
            "telephone_number": "276-694-8627",
            "fax_number": "276-694-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCH INVESTORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "276-694-8678"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "VA",
            "license": "0201001168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010133611",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2105597",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RJ REYNOLDS PATRICK COUNTY MEMORIAL HOSPITAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stuart, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.