VALLEY COMPOUNDING PHARMACY, P.C. (NPI# 1588842959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588842959 |
| Entity Type | Organization |
| Organization Name | VALLEY COMPOUNDING PHARMACY, P.C. |
| Practice Address |
22776 Timberlake Rd Suite C Lynchburg VA 24502-7310 |
| Mailing Address |
2201 Langhorne Rd Suite A Lynchburg VA 24501-1124 |
| Practice Telephone | 4342373331 |
| Mailing Telephone | 4342373331 |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2010-10-14 |
| Authorized Official Name | JAMES VINCENT ETTARE II (PRESIDENT) |
| Authorized Official Telephone | 4342373331 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
0201004203 | VA | Suppliers |
| Street Address |
22776 TIMBERLAKE RD SUITE C |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24502-7310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245412964 | Jodi V. Ettare | Pharmacist | 22776 Timberlake Rd, Suite C, Lynchburg, VA 24502-7310 | 2007-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523038 | Vivian Tran | Student in an Organized Health Care Education/Training Program | Liberty University College of Osteopathic Medicine, 306 Liberty View Ln, Lynchburg, VA 24502 | 2020-03-19 |
| 1669005468 | Beth Elaine Hammond | Nurse Practitioner | 132 Frederick Drive, Lynchburg, VA 24502 | 2020-02-20 |
| 1225672348 | Pearlren-aye Elizabeth Taylor | Case Management | 542 Leesville Rd, Apt 127, Lynchburg, VA 24502 | 2019-10-31 |
| 1821553868 | Shavonne D Joyner | Behavioral Analyst | 18697 Forest Road, Lynchburg, VA 24502 | 2019-02-04 |
| 1043794415 | Robert Patrick Thomas | Private Vehicle | 44 Point Drive, Apt 30, Lynchburg, VA 24502 | 2018-09-20 |
| 1023503521 | Ptc Wellness Centers PC | Family Medicine | 2832 Candlers Mtn Rd, Lynchburg, VA 24502 | 2018-06-27 |
| 1548750722 | Raymond W Andrews IIi | Speech-Language Pathologist | 3101 Wards Ferry Road, Lynchburg, VA 24502 | 2018-05-14 |
| 1932697596 | Barbara J Frost | Nurse Practitioner | 906 Westview Dr, Lynchburg, VA 24502 | 2018-04-28 |
| 1619476983 | Benjamin Aaron Galley | Specialist/Technologist | 1971 University Blvd., Lynchburg, VA 24502 | 2018-02-01 |
| 1477076180 | Candice Cage | Home Health | 1002 Wexford Place, Lynchburg, VA 24502 | 2017-07-25 |
| Find all providers in zip 24502 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912524141 | Tps Lab LLC | Pharmacy | 4097 Ironbound Rd Ste B, Williamsburg, VA 23188-2676 | 2020-07-03 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1689177552 | Jp Pharma LLC | Pharmacy | 3534 Electric Rd, Roanoke, VA 24018-4453 | 2018-03-16 |
| 1861901340 | Personalmed Virginia Pharmacy Services | Pharmacy | 12007 Sunrise Valley Dr Ste 110, Reston, VA 20191-3460 | 2017-09-27 |
| 1053841015 | Specialty Care Rx LLC | Pharmacy | 111 Fashion Rd Ste Abc, Pounding Mill, VA 24637-1200 | 2017-06-13 |
| 1104362227 | Prosperity Rx Arlington | Pharmacy | 5101 Lee Hwy, Arlington, VA 22207-1603 | 2017-01-12 |
| 1225574536 | Hnr Family Pharmacy | Pharmacy | 3449 Fall Hill Ave, Fredericksburg, VA 22401-4929 | 2017-01-10 |
| 1144772476 | Mechanicsville Chemist LLC | Pharmacy | 8324 Bell Creek Rd Ste 800, Mechanicsville, VA 23116-3849 | 2016-11-03 |
| 1700159696 | Elkton Healthcare Services Inc | Pharmacy | 111 S Stuart Ave, Elkton, VA 22827-1525 | 2012-02-22 |
| 1497042956 | Nova Pharmacy LLC | Pharmacy | 6023 Wilson Blvd, Arlington, VA 22205-1503 | 2011-07-06 |
| Find all providers with the same taxonomy | ||||
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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.