Fifth Sanitary Food Store Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201001805 Issued in VA

Legal business name

FIFTH SANITARY FOOD STORE INC

Doing business as

Marshall Pharmacy

Practice address

8382 West Main Street
Marshall, VA 20115

Phone

(540) 364-9568

Fax

(540) 364-1479

NPI assigned

Feb 2, 2007

Last updated

Feb 28, 2012By 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

Holder Trumbo

Title

Vice President

Phone

(540) 364-9568

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MARSHALL PHARMACY Doing business as

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.

• Kevin Scott Tolley, R.PH.

  • Pharmacist
  • Marshall, VA
  • NPI 1518242924
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1932247699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 496",
            "city": "MARSHALL",
            "state": "VA",
            "postal_code": "201160496",
            "telephone_number": "540-364-9568",
            "fax_number": "540-364-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8382 WEST MAIN STREET",
            "city": "MARSHALL",
            "state": "VA",
            "postal_code": "20115",
            "telephone_number": "540-364-9568",
            "fax_number": "540-364-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIFTH SANITARY FOOD STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "TRUMBO",
        "authorized_official_first_name": "HOLDER",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "540-364-9568"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201001805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00851315",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4816801",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARSHALL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Judith Evans Clair, L.P.C.
• Rachel Whitney Crossen, IBCLC
• Eastern Sky Health, Inc. (Eastern Sky Health)
• Ibrahim Elgarawany, DDS
• Fauquier Physician Management Services Inc (Countryside Family Practice)
• Joan Fleck, LPC, LMFT
• Christine Helsel, COTA/L
• Elizabeth Ann Hoebel, MD
• Robert Bradford Houska, MD
• Hutton Chiropractic Health Center of Marshall PC

• Community/Retail Pharmacy in Marshall, VA
• Providers in Marshall, 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 Feb 28, 2012; 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.