OLDE TOWNE PHARMACY INC. NPI 1316990203

NPI Details

OLDE TOWNE PHARMACY , INC. is a pharmacist in Williamsburg, VA. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. OLDE TOWNE PHARMACY , INC. NPI is 1316990203. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4854 LONGHILL RD
SUITE 5
WILLIAMSBURG, VA
ZIP 23188-500
Phone: (757) 220-8764
Fax: (757) 229-1772

The provider's authorized official is Kelly Hasty .
The authorized official title is Pharmacist/owner and has the following contact phone number (757) 220-8764.

The CLIA number assigned to this NPI record is 49D0875069 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

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.

• Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Fee covid-19 vac 13 res (HCPCS:0124A)
• Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)

The enumeration date for this NPI number is 5/19/2006 and was last updated on 8/22/2020.

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: