LEVISA PHARMACIES INC NPI 1568565604

NPI Information

  • NPI: 1568565604
  • Provider Name: LEVISA PHARMACIES INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: TRI-STATE PHARMACY
  • Address: 20759 RIVERSIDE DR
    GRUNDY, VA
    ZIP 24614
  • Phone: (276) 935-7513

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NPI Details

LEVISA PHARMACIES INC is a community/retail pharmacy pharmacy in Grundy, 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. LEVISA PHARMACIES INC NPI is 1568565604. The provider is registered as an organization entity type.
The provider Is Doing Business As Tri-state Pharmacy.

The provider's business location address is:

20759 RIVERSIDE DR
GRUNDY, VA
ZIP 24614-746
Phone: (276) 935-7513
Fax: (276) 935-2256

The provider's authorized official is Joel Thornbury .
The authorized official title is Vp and has the following contact phone number (276) 935-7513.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 12/17/2010.

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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy0201002326VIRGINIAYes

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
19137289MEDICAIDVIRGINIA
28515514MEDICAIDVIRGINIA
34820204OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
40927390002MEDICARE NSC
554020326MEDICAIDKENTUCKY

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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