Organization Active NPI

Professional Pharmacy South

  • Pharmacy Technician
  • Richmond, VA
National Provider Identifier
1962583682
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
0230005060 Issued in VA
Legal business name
PROFESSIONAL PHARMACY SOUTH
Practice address
101 Cowardin Ave Ste 104
Richmond, VA 23224-2078
Phone
(804) 231-9422
Fax
(804) 231-9442
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Kim Neshae' Hamilton, CPTH
Title
Manager/CPTH
Phone
(804) 231-9422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 183700000X 0230005060 VA Primary

Addresses

Primary practice location

101 Cowardin Ave Ste 104
Richmond, VA 23224-2078

Mailing address

101 Cowardin Ave Ste 104
Richmond, VA 23224-2078
Phone (804) 231-9422

National Provider Directory

National Provider Directory

Locations

101 Cowardin Ave
Ste 104
Richmond, VA 23224
Phone (804) 231-9422

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962583682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 COWARDIN AVE STE 104",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232242078",
            "telephone_number": "804-231-9422",
            "fax_number": "804-231-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 COWARDIN AVE STE 104",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232242078",
            "telephone_number": "804-231-9422",
            "fax_number": "804-231-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PHARMACY SOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "NESHAE'",
        "authorized_official_title_or_position": "MANAGER/CPTH",
        "authorized_official_telephone_number": "804-231-9422",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPTH"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacy Technician",
            "state": "VA",
            "license": "0230005060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.