Medicap Pharmacy

LBN: Jebs Inc
Medicap Pharmacy is an health care organization with primary practice located at 4375 Brambleton Ave , Roanoke VA 24018-3404. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Jebs Inc can be contacted via phone (540) 772-0605, or through Nuckols, Walter Steven via phone (540) 772-0605.

Contact Information

Primary practice address
4375 Brambleton Ave Roanoke VA 24018-3404
Phone: (540) 772-0605
Fax: (540) 772-0601
Website:
Map and Directions
Authorized official contact:
Name: Nuckols, Walter Steven RPH
Phone: (540) 772-0605

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 0201003350 Virginia

Profile Details

NPI number 1255314258
LBN Legal business name Jebs Inc
DBA Doing business as Medicap Pharmacy
Authorized official Nuckols, Walter Steven RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2005
Last updated Mar 7th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255314258 NPPES
Virginia Other 4829909 NCPDP #
Virginia MEDICAID 8508399 NCPDP #

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