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CHARLOTTESVILLE FREE CLINIC NPI 1477089639


NPI Information

NPI: 1477089639
Provider Name: CHARLOTTESVILLE FREE CLINIC
Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 49D0723369

Address:
901 PRESTON AVE, SUITE 101
CHARLOTTESVILLE, VA
ZIP 22903
Phone: (434) 295-8957
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CHARLOTTESVILLE FREE CLINIC is a pharmacy in Charlottesville, VA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. CHARLOTTESVILLE FREE CLINIC NPI is 1477089639. The provider is registered as an organization entity type.

The provider's business location address is:

901 PRESTON AVE, SUITE 101
CHARLOTTESVILLE, VA
ZIP 22903
Phone: (434) 295-8957
Fax: (434) 296-0904

The provider's authorized official is Lawrence Melvin Thompson .
The authorized official title is Pharmacy Manager and has the following contact phone number (434) 296-5525.

The CLIA number assigned to this NPI record is 49D0723369 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/10/2017 and was last updated on 3/24/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy0201003106VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.