Modern Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201000491 Issued in VA

Legal business name

MODERN PHARMACY INC

Doing business as

Modern Pharmacy Inc

Practice address

155 S Main St
Danville, VA 24541-2921

Phone

(434) 793-5711

Fax

(434) 792-2516

NPI assigned

Apr 27, 2006

Last updated

Nov 21, 2014By 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

Glenn Milam, PHARM DNPI 1750349833

Title

Owner

Phone

(434) 793-5711

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• MODERN PHARMACY INC Doing business as

Locations

Practitioners 4

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.

• Glenn R Milam

  • Pharmacist
  • Danville, VA
  • NPI 1750349833
  NPD Authorized official
• Tammy R Campbell

  • Pharmacist
  • Danville, VA
  • NPI 1659373090
  NPD (past)
• Daniel Martin

  • Pharmacist
  • Danville, VA
  • NPI 1326925991
  NPD (past)
• Harry D Milam

  • Pharmacist
  • Danville, VA
  • NPI 1285692327
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1942267497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 S MAIN ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412921",
            "telephone_number": "434-793-5711",
            "fax_number": "434-792-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 S MAIN ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412921",
            "telephone_number": "434-793-5711",
            "fax_number": "434-792-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "MILAM",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-793-5711",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201000491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2102444",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0925669",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8502609",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MODERN PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Faryal G Mirza, MD
• Ashley Mitchell-Roberts, PSYD
• Nathan P Mitchell, FNP-BC
• Marian Taylor Strange Mizelle, PA-C
• MNZ Transport Inc.
• Jacob Theodoor Moll, M.D.
• Momentum Day Services LLC
• Monica Mosley DDS, PC (danville pediatric dentistry)
• Emil Wolden Hjorth Montano, DO
• Juliette Montauk-Moschler, PMHNP-BC

• Community/Retail Pharmacy in Danville, VA
• Providers in Danville, 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 Nov 21, 2014; 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.