Petersburg Pharmacy PLLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PETERSBURG PHARMACY PLLC

Practice address

5812 Boydton Plank Rd
Petersburg, VA 23803-7412

Phone

(502) 202-1646

NPI assigned

May 15, 2023

Organization subpart

No

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

Authorized official

Name

Gaurang PatelNPI 1750914685

Title

Member

Phone

(804) 894-8444

Specialties & licenses 1

Addresses

Other names 1

• Produce Center Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gaurang R Patel

  • Pharmacist
  • Wilmington, DE
  • NPI 1750914685
  NPD Authorized official

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1982394771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5812 BOYDTON PLANK RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "23803",
            "telephone_number": "502-202-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5812 BOYDTON PLANK RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238037412",
            "telephone_number": "502-202-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSBURG PHARMACY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "GAURANG",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "804-894-8444"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Produce Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Petersburg Hospital Company LLC
• Petersburg Hospital Company LLC
• Petersburg Hospital Company LLC
• Petersburg Hospital Company LLC
• Petersburg Pathology Associates LTD.
• Petersburg Public Schools
• Damon Peterson, M.ED, PBSF
• Tammy Faye Peterson
• Heather M Pettis, M.D.
• Latisha Renee Petty

• Community/Retail Pharmacy in Petersburg, VA
• Providers in Petersburg, 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 Jul 16, 2024; 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.