Mechanicsville Drug Store Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201000458 Issued in VA

Legal business name

MECHANICSVILLE DRUG STORE INC

Doing business as

Mechanicsville Drug Store

Practice address

8077 Mechanicsville Tpke
Mechanicsville, VA 23111-1222

Phone

(804) 746-5168

Fax

(804) 746-7046

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Jay Thompson, RPH

Title

Owner

Phone

(804) 746-5168

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MECHANICSVILLE DRUG STORE Doing business as

Medicare fee-for-service enrollment

Enrolled in VA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 2

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

• Virgil Kincaid III

  • Student in an Organized Health Care Education/Training Program
  • Mechanicsville, VA
  • NPI 1982548418
  NPD (past)
• Kate Thompson Ledoux, PHARM D.

  • Pharmacist
  • Mechanicsville, VA
  • NPI 1508327636
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1992892806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231110007",
            "telephone_number": "804-746-5168",
            "fax_number": "804-746-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8077 MECHANICSVILLE TPKE",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231111222",
            "telephone_number": "804-746-5168",
            "fax_number": "804-746-7046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MECHANICSVILLE DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-746-5168",
        "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": "0201000458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8505624",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2102079",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MECHANICSVILLE DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Padilla McWhorter, M.D.
• Hanan M. Mdeway, OD
• Thomas P Mead, M.D.
• Mechanicsville Chemist LLC (Bell Creek Pharmacy)
• Mechanicsville Chemist LLC
• Mechanicsville Medical Center Family Physicians, P.L.L.C.
• Thomas Shawn Mechling, PA-C
• Med Atlantic Inc
• Medcare Foot & Ankle Specialists PLLC
• Dorothy Anne Medina, ACNP

• Community/Retail Pharmacy in Mechanicsville, VA
• Providers in Mechanicsville, 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 Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.