Active NPI
Jesse Littleton Zeigler III, PHARMACIST B.S.
- Pharmacist
- Coeburn, VA
National Provider Identifier
1952319014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202005543
- Practice address
- 501 Front St W
Marty Shopping Center
Coeburn, VA 24230-3607 - Phone
- (276) 395-2257
- Fax
- (276) 395-3526
- NPI assigned
- Aug 4, 2006
- Last updated
- Feb 14, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202005543 | VA | Primary |
Addresses
Primary practice location
501 Front St W
Marty Shopping Center
Coeburn, VA 24230-3607
Mailing address
2724 Warren Dr.
P O Box 799
Saint Paul, VA 24283-0799
Phone (276) 762-9385
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8513457 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202005543 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apothecary Enterprises, LTD. | Current | Accepting new patients | |
| Apothecary Enterprises, LTD | Current | Accepting new patients |
Locations
501 Front St W
Coeburn, VA 24230
Phone (276) 395-2257
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Family DrugCenter
- Community/Retail Pharmacy
- Coeburn, VA
- NPI 1326056482
-
- Long Term Care Pharmacy
- Coeburn, VA
- NPI 1518838697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202947200000",
"number": "1952319014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2724 WARREN DR.",
"address_2": "P O BOX 799",
"city": "SAINT PAUL",
"state": "VA",
"postal_code": "242830799",
"telephone_number": "276-762-9385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 FRONT ST W",
"address_2": "MARTY SHOPPING CENTER",
"city": "COEBURN",
"state": "VA",
"postal_code": "242303607",
"telephone_number": "276-395-2257",
"fax_number": "276-395-3526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEIGLER",
"first_name": "JESSE",
"middle_name": "LITTLETON",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "PHARMACIST B.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2008-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202005543",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8513457",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coeburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.