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KILMARNOCK PHARMACY INC NPI 1528016771


NPI Information

NPI: 1528016771
Provider Name: KILMARNOCK PHARMACY INC

Doing Business As: MAIN STREET PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 49D1061142

Address:
308 N MAIN ST
KILMARNOCK, VA
ZIP 22482
Phone: (804) 435-8818
Get Directions

KILMARNOCK PHARMACY INC is a community/retail pharmacy pharmacy in Kilmarnock, 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. KILMARNOCK PHARMACY INC NPI is 1528016771. The provider is registered as an organization entity type.
The provider Is Doing Business As Main Street Pharmacy.

The provider's business location address is:

308 N MAIN ST
KILMARNOCK, VA
ZIP 22482-834
Phone: (804) 435-8818
Fax: (804) 435-8898

The provider's authorized official is Caroll Throckmorton .
The authorized official title is Owner and has the following contact phone number (804) 435-8818.

The CLIA number assigned to this NPI record is 49D1061142 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 10/10/2018.


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
13336L0003XPharmacyLong Term Care PharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy0201004077VIRGINIAYes

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
1010265975MEDICAIDVIRGINIA
24839227OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

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

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.