Gretna Drug Co., Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

0201000332 Issued in VA

Legal business name

GRETNA DRUG CO., INC.

Practice address

108 Vaden Dr
Gretna, VA 24557-4160

Phone

(434) 656-1251

Fax

(434) 656-6003

NPI assigned

Jul 19, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Henry Chapman Brown IIINPI 1780272393

Title

Vice President, Pharmacist

Phone

(434) 656-1251

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Gretna Drug Co., Inc.

  • Long Term Care Pharmacy
  • Gretna, VA
  • NPI 1053179382
  NPPES parent name

Practitioners 4

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

• Henry Chapman Brown III

  • Pharmacist
  • Gretna, VA
  • NPI 1780272393
  NPD Authorized official
• Bryan Keith Dalton, PHARMD

  • Pharmacist
  • Gretna, VA
  • NPI 1326643446
  NPD (past)
• William Brandon Dalton, PHARMD

  • Pharmacist
  • Gretna, VA
  • NPI 1891051843
  NPD (past)
• Thomas D Morris, RPH

  • Pharmacist
  • Gretna, VA
  • NPI 1578800181
  NPD (past)

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1992704183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 456",
            "city": "GRETNA",
            "state": "VA",
            "postal_code": "245570456",
            "telephone_number": "434-656-1251",
            "fax_number": "434-656-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 VADEN DR",
            "city": "GRETNA",
            "state": "VA",
            "postal_code": "245574160",
            "telephone_number": "434-656-1251",
            "fax_number": "434-656-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRETNA DRUG CO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "CHAPMAN",
        "authorized_official_title_or_position": "VICE PRESIDENT, PHARMACIST",
        "authorized_official_telephone_number": "434-656-1251",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0201000332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008501815",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009148523",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doss Estates, Inc.
• Rufus Randolph Duffer
• Violet P. Esposito, FNP
• Tracy Overstreet Garrett, FNP-C
• Gretna Drug Co., Inc.
• Gretna Operations LLC
• Gretna Rescue Squad Inc
• Valerie Grimes, PT, DPT
• Andrea Tanksley Harvey, NP
• Jenifer Kelli Hoffert, P.A.

• All providers in Gretna, VA
• Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.