Northgatepharmacy 1
LBN: Abingdon Apothecary, Inc.
Northgatepharmacy 1 is an health care organization with primary practice located at 611 Campus Dr. Suite 500, Abingdon VA 24210. The organization recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Abingdon Apothecary, Inc. can be contacted via phone (276) 628-2001, or through Petrosky, Timothy Rudolph via phone (276) 628-2001.
Contact Information
Primary practice address
611 Campus Dr. Suite 500
Abingdon VA 24210
Phone: (276) 628-2001
Fax: (276) 628-2514
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 0201002592 | Virginia |
| Suppliers / Pharmacy | 333600000X | 0201002592 | Virginia |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 0201002592 | Virginia |
Profile Details
| NPI number | 1023114584 |
|---|---|
| LBN Legal business name | Abingdon Apothecary, Inc. |
| DBA Doing business as | Northgatepharmacy 1 |
| Authorized official | Petrosky, Timothy Rudolph RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Dec 23rd, 2015 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023114584 | NPPES |
| Other | 4823349 | NCPDP | |
| MEDICAID | 008504067 | NCPDP |
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