Martinsville Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

0201004762 Issued in VA

Legal business name

MARTINSVILLE PHARMACY INC

Practice address

1049 Brookdale St
Ste a
Martinsville, VA 24112-3971

Phone

(276) 632-0816

Fax

(276) 632-0871

NPI assigned

May 3, 2017

Organization subpart

No

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

Authorized official

Name

James Dennis Glass, R.PH

Title

Pharmacy Manager

Phone

(276) 632-0816

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1992231401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 BROOKDALE ST",
            "address_2": "STE A",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241123971",
            "telephone_number": "276-632-0816",
            "fax_number": "276-632-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 BROOKDALE ST",
            "address_2": "STE A",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241123971",
            "telephone_number": "276-632-0816",
            "fax_number": "276-632-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINSVILLE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "276-632-0816",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "VA",
            "license": "0201004762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841738895",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martinsville Henry County Coalition for Health and Wellness
• Martinsville Neurological Assoc., Inc
• Martinsville Optical Co., Inc.
• Martinsville Otolaryngology Associates, Inc
• Martinsville Pharmacy Inc
• Martinsville Physical Therapy & Industrial Rehabilitation Inc
• Martinsville Physical Therapy and Industrial Rehabilitation
• Martinsville Physician Practices LLC
• Martinsville Physician Practices LLC
• Martinsville Physician Practices LLC

• Long Term Care Pharmacy in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Long Term Care Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.