Organization Active NPI

New River Pharmacy LLC

Doing business as Counts Family Pharmacy

  • Community/Retail Pharmacy
  • Blacksburg, VA
National Provider Identifier
1972968279
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201004686 Issued in VA
Legal business name
NEW RIVER PHARMACY LLC
Doing business as
Counts Family Pharmacy
Practice address
301 S Main St Ste 107
Blacksburg, VA 24060-4978
Phone
(540) 605-7721
Fax
(540) 605-7746
NPI assigned
Dec 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Ervin Counts, RPHNPI 1073104543
Title
Managing Member
Phone
(276) 865-5560

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
Community/Retail Pharmacy 3336C0003X 0201004686 VA Primary

Addresses

Primary practice location

301 S Main St Ste 107
Blacksburg, VA 24060-4978

Mailing address

PO Box 453
Haysi, VA 24256-0453
Phone (276) 525-0198

Other identifiers 2

IdentifierTypeStateIssuer
2157334OtherPK
1972968279MedicaidVA

Other names 1

  • COUNTS FAMILY PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211027000396 VA Part B Supplier - Mass Immunization (Roster Biller Only) 8022406966 Practice locations: Blacksburg, VA

National Provider Directory

National Provider Directory

Locations

301 S Main St
Ste 107
Blacksburg, VA 24060
Phone (540) 605-7721

Practitioners & affiliated clinicians

Practitioners 2

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": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1972968279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 453",
            "city": "HAYSI",
            "state": "VA",
            "postal_code": "242560453",
            "telephone_number": "276-525-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S MAIN ST STE 107",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240604978",
            "telephone_number": "540-605-7721",
            "fax_number": "540-605-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW RIVER PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "COUNTS",
        "authorized_official_first_name": "ERVIN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "276-865-5560",
        "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": "0201004686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157334",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972968279",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COUNTS FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blacksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.