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TRI AREA COMMUNITY HEALTH NPI 1447390091


NPI Information

NPI: 1447390091
Provider Name: TRI AREA COMMUNITY HEALTH

Doing Business As: TRI AREA PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 49D2279075

Address:
14558 DANVILLE PIKE
LAUREL FORK, VA
ZIP 24352
Phone: (276) 398-2620
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TRI AREA COMMUNITY HEALTH is a community/retail pharmacy pharmacy in Laurel Fork, VA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. TRI AREA COMMUNITY HEALTH NPI is 1447390091. The provider is registered as an organization entity type.
The provider Is Doing Business As Tri Area Pharmacy.

The provider's business location address is:

14558 DANVILLE PIKE
LAUREL FORK, VA
ZIP 24352-009
Phone: (276) 398-2620
Fax: (276) 398-3884

The provider's authorized official is Debra S Shelor .
The authorized official title is Ceo and has the following contact phone number (276) 398-2292.

The CLIA number assigned to this NPI record is 49D2279075 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/6/2007 and was last updated on 10/24/2017.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2332B00000XDurable Medical Equipment & Medical Supplies0201003139VIRGINIANo
33336C0003XPharmacyCommunity/Retail Pharmacy0201003139VIRGINIAYes

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
1009104909MEDICAIDVIRGINIA
24138650001MEDICARE ID-TYPE UNSPECIFIED
34138650001OTHERMEDICARE DME
4008586560MEDICAIDVIRGINIA

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: 5/5/2024

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