Professional Pharmacy of Danville

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201000675 Issued in VA

Legal business name

PROFESSIONAL PHARMACY OF DANVILLE

Doing business as

PROFESSIONAL PHARMACY

Practice address

130 Watson St
Danville, VA 24541-2835

Phone

(434) 793-2221

Fax

(434) 797-9722

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Jack Thomson II, RPHNPI 1992078596

Title

Owner

Phone

(434) 793-2221

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• PROFESSIONAL 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.

• Jack Vincent Thomson II

  • Pharmacist
  • Danville, VA
  • NPI 1992078596
  NPD Authorized official

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1942314935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 WATSON ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412835",
            "telephone_number": "434-793-2221",
            "fax_number": "434-797-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WATSON ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412835",
            "telephone_number": "434-793-2221",
            "fax_number": "434-797-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PHARMACY OF DANVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "THOMSON",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-793-2221",
        "authorized_official_name_suffix": "II",
        "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": "VA",
            "license": "0201000675",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008502161",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4805860",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROFESSIONAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Dec 15, 2010; 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.