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ABINGDON APOTHECARY INC. NPI 1023114584


NPI Information

NPI: 1023114584
Provider Name: ABINGDON APOTHECARY, INC.

Doing Business As: NORTHGATEPHARMACY 1

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
611 CAMPUS DR.
SUITE 500
ABINGDON, VA
ZIP 24210
Phone: (276) 628-2001
Get Directions

ABINGDON APOTHECARY, INC. is a pharmacy in Abingdon, 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. ABINGDON APOTHECARY, INC. NPI is 1023114584. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Northgatepharmacy 1.

The provider's business location address is:

611 CAMPUS DR.
SUITE 500
ABINGDON, VA
ZIP 24210
Phone: (276) 628-2001
Fax: (276) 628-2514

The provider's authorized official is Timothy Rudolph Petrosky .
The authorized official title is Pharmacy Manager/pic and has the following contact phone number (276) 628-2001.

The enumeration date for this NPI number is 9/15/2006 and was last updated on 12/23/2015.


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
1183500000XPharmacist0201002592VIRGINIANo
23336C0003XPharmacyCommunity/Retail Pharmacy0201002592VIRGINIANo
3333600000XPharmacy0201002592VIRGINIAYes

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
16307090001MEDICARE NSCVIRGINIA
24823349OTHERNCPDP
3008504067MEDICAIDVIRGINIA

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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