SPECIALTY CARE RX LLC NPI 1053841015

NPI Information

  • NPI: 1053841015
  • Provider Name: SPECIALTY CARE RX LLC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • CLIA Number: 49D2176344
  • Address: 111 FASHION RD STE ABC
    POUNDING MILL, VA
    ZIP 24637
  • Phone: (276) 345-0284

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NPI Details

SPECIALTY CARE RX LLC 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. SPECIALTY CARE RX LLC NPI is 1053841015. The provider is registered as an organization entity type.

The provider's business location address is:

111 FASHION RD STE ABC
POUNDING MILL, VA
ZIP 24637-200
Phone: (276) 345-0284
Fax: (276) 345-0284

The provider's authorized official is Wesley V.a. Waters .
The authorized official title is Manager and has the following contact phone number (406) 531-5888.

The CLIA number assigned to this NPI record is 49D2176344 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/13/2017 and was last updated on 4/6/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0004XPharmacyCompounding Pharmacy0201004783VIRGINIANo
2333600000XPharmacy0201004783VIRGINIAYes

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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