CLAYPOOL HILL PHARMACY NPI 1003911884

NPI Information

  • NPI: 1003911884
  • Provider Name: CLAYPOOL HILL PHARMACY
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Address: 12252 GOVENOR GEORGE C PEERY HWY
    POUNDING MILL, VA
    ZIP 24637
  • Phone: (276) 963-3502

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NPI Details

CLAYPOOL HILL PHARMACY is a pharmacy in Pounding Mill, 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. CLAYPOOL HILL PHARMACY NPI is 1003911884. The provider is registered as an organization entity type.

The provider's business location address is:

12252 GOVENOR GEORGE C PEERY HWY
POUNDING MILL, VA
ZIP 24637
Phone: (276) 963-3502
Fax: (276) 963-3757

The provider's authorized official is Shannon Mcgraw .
The authorized official title is Owner and has the following contact phone number (276) 963-3502.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Covid-19 vaccine administration inside a patient's home; reported only once per individual home per date of service when only covid-19 vaccine administration is performed at the patient's home (HCPCS:M0201)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Influenza vaccine, quadrivalent derived from cell cultures (HCPCS:90756)

The enumeration date for this NPI number is 9/14/2006 and was last updated on 11/14/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacy0201004017VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14838580OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
23810004705MEDICAIDWEST VIRGINIA
3P00289943MEDICARE PINVIRGINIA
45453720001MEDICARE NSCVIRGINIA
50036FMEDICARE PINVIRGINIA

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: 11/21/2025

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