Organization Active NPI

Parkway Pharmacy Inc

Doing business as Parkway Pharmacy

  • Community/Retail Pharmacy
  • Crozet, VA
National Provider Identifier
1952346322
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201003564 Issued in VA
Legal business name
PARKWAY PHARMACY INC
Doing business as
Parkway Pharmacy
Practice address
5771 The SQ
Crozet, VA 22932-3182
Phone
(434) 823-6337
Fax
(434) 823-1912
NPI assigned
Jun 18, 2006
Last updated
Aug 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Authorized official

Name
Paul PlantzNPI 1528651254
Title
Owner
Phone
(434) 823-6337

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 0201003564 VA Primary

Addresses

Primary practice location

5771 The SQ
Crozet, VA 22932-3182

Mailing address

PO Box 8
Crozet, VA 22932-0008
Phone (434) 823-6337

Other identifiers 3

IdentifierTypeStateIssuer
008517151MedicaidVA
009119973MedicaidVA
2104203OtherPK

Other names 1

  • PARKWAY PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201216000791 VA Part B Supplier - Mass Immunization (Roster Biller Only) 7517170665 Practice locations: Crozet, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1952346322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "229320008",
            "telephone_number": "434-823-6337",
            "fax_number": "434-823-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5771 THE SQ",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "229323182",
            "telephone_number": "434-823-6337",
            "fax_number": "434-823-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "PLANTZ",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-823-6337"
    },
    "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": "0201003564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008517151",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009119973",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2104203",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARKWAY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crozet, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.