SPECIALTY CARE RX LLC (NPI# 1053841015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053841015 |
| Entity Type | Organization |
| Organization Name | SPECIALTY CARE RX LLC |
| Practice Address |
111 Fashion Rd Ste Abc Pounding Mill VA 24637-1200 |
| Mailing Address |
Po Box 388 Pounding Mill VA 24637-0388 |
| Practice Telephone | 2763450284 |
| Practice Fax Number | 2763450284 |
| Mailing Telephone | 2763450284 |
| Mailing Fax Number | 2763450284 |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2018-01-02 |
| Authorized Official Name | MR. ROBERT L CONDEE (OWNER) |
| Authorized Official Telephone | 3045410960 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
0201004783 | VA | Suppliers |
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
0201004783 | VA | Suppliers |
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
0201004783 | VA | Suppliers |
| Y | 333600000X | Pharmacy | 0201004783 | VA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053639328 | Specialty Care Rx LLC | Pharmacy | 5310 N Sheridan Rd, Chicago, IL 60640-2515 | 2010-05-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Specialty Care Rx LLC | 111 Fashion Road, Suites Abc, Pounding Mill, Virginia 24637 |
| Street Address |
111 FASHION RD STE ABC |
| City | POUNDING MILL |
| State | VA |
| Zip Code | 24637-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609593 | Luke Aaron Richardson | Pharmacist | 13320 G.c. Peery Highway, Pounding Mill, VA 24637 | 2020-11-02 |
| 1356986137 | Anita Lynn Hicks | Technician | 462 Estates Drive, Pounding Mill, VA 24637 | 2019-11-15 |
| 1740741479 | Jess Owen Beavers | Pharmacist | 13320 G.c. Peery Hwy, Pounding Mill, VA 24637 | 2019-03-26 |
| 1184898777 | Shannon Rose Mcgraw | Pharmacist | 12252 Governor Gc Peery Highway, Pounding Mill, VA 24637 | 2008-04-15 |
| 1922177823 | Kerry Keith Cline | Optometrist | 113 Short Street, Pounding Mill, VA 24637 | 2006-11-06 |
| 1871694950 | Fred A Sayers Jr. | Chiropractor | 226 Clay Drive, Pounding Mill, VA 24637 | 2006-09-25 |
| 1003911884 | Claypool Hill Pharmacy | Pharmacy | 12252 Govenor George C Peery Hwy, Pounding Mill, VA 24637 | 2006-09-14 |
| 1548861115 | Jeffery A Miller | Pharmacist | 13320 G.c. Peery Hwy, Pounding Mill, VA 24637 | 2020-11-02 |
| 1275707705 | Jody Dow Fuller | Pharmacist | 12252 Governor Gc Peery Highway, Pounding Mill, VA 24637 | 2008-04-16 |
| 1811170350 | Sayers Chiropractic PC | Chiropractor | 226 Clay Drive, Pounding Mill, VA 24637 | 2007-12-06 |
| Find all providers in zip 24637 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
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| 1275175804 | Duyen K Nguyen | Pharmacy | 4497 Morning Wind Ct, Annandale, VA 22003-5902 | 2019-10-15 |
| 1447892450 | Seaside Pharmacy LLC | Pharmacy | 1630 Donna Dr Ste 103, Virginia Beach, VA 23451-6188 | 2019-10-10 |
| 1083255426 | E's-y Rider Cab & Transport Co LLC | Pharmacy | 562 W 29th St, Buena Vista, VA 24416-1506 | 2019-10-07 |
| 1346891918 | Martin's Pharmacy of Rural Retreat Inc | Pharmacy | 100 W Buck Ave, Rural Retreat, VA 24368-2515 | 2019-09-25 |
| 1417418005 | Village Economy Drug Inc | Pharmacy | 443 Duff Patt Hwy Ste 104, Duffield, VA 24244-5191 | 2019-03-27 |
| 1538642434 | Avs Pharmacy LLC | Pharmacy | 161 Fort Evans Rd Ne Ste 115, Leesburg, VA 20176-3370 | 2018-09-07 |
| 1316427347 | Plaza Economy Drug Inc | Pharmacy | 1123 Plaza Dr, Grundy, VA 24614-6780 | 2018-08-20 |
| Find all providers with the same taxonomy | ||||
| City | POUNDING MILL |
| Zip Code | 24637 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.