HERITAGE PHARMACY LLC (NPI# 1679063523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679063523 |
| Entity Type | Organization |
| Organization Name | HERITAGE PHARMACY LLC |
| Practice Address |
5922b George Washington Mem Hwy Yorktown VA 23692 |
| Mailing Address |
5922b George Washington Mem Hwy Yorktown VA 23692-2110 |
| Practice Telephone | 7572432764 |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-06-26 |
| Authorized Official Name | ERIC NELSEN (MANAGER) |
| Authorized Official Telephone | 7572432764 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
201004843 | VA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548509615 | Heritage Pharmacy LLC | Pharmacy | 529 N Main St, Hennessey, OK 73742-1033 | 2013-02-08 |
| 1982919130 | Heritage Pharmacy LLC | Pharmacy | 1309 S Main St, Kingfisher, OK 73750-4402 | 2010-08-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | HERITAGE PHARMACY LLC | 5922 George Washington Memorial Hwy, Ste B, Yorktown, Virginia 23692 |
| Street Address |
5922B GEORGE WASHINGTON MEM HWY |
| City | YORKTOWN |
| State | VA |
| Zip Code | 23692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114400884 | Mary Amanda Gray | Dietitian, Registered | 5306 Old Virginia Street, Urbanna, VA 23692 | 2018-09-10 |
| 1932687142 | Janice Stewart | Counselor | 3804 George Washington Mem Hwy, Yorktown, VA 23692 | 2018-07-31 |
| 1437655461 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 6500 George Washington Mem Hwy Ste C, Grafton, VA 23692 | 2018-03-30 |
| 1730571985 | Sentara Medical Group | Internal Medicine | 100 Enterprise Dr, Yorktown, VA 23692 | 2015-02-25 |
| 1427392315 | Anna Katherina Ristow | Specialist/Technologist | 9300 George Washington Ave, Yorktown, VA 23692 | 2012-11-16 |
| 1225340714 | Jamie Banuski | Voluntary or Charitable | 7307 George Washington Mem Hwy, Pmb511, Yorktown, VA 23692 | 2010-07-13 |
| 1174719793 | Grafton Smile Care | Clinic/Center | 4030 - A George Washington Hwy, Grafton, VA 23692 | 2007-09-18 |
| 1497949713 | Sayward E. Duggan Dds Ms PC | Clinic/Center | 4310 George Washington Memorial Highway, Yorktown, VA 23692 | 2007-08-29 |
| 1679691307 | Carol A. Pittman | Dentist | 4310 George Washington Hwy, Yorktown, VA 23692 | 2007-03-27 |
| 1710043666 | Robert Moore Alexander | Dentist | 105 Terrebonne Road, Grafton, VA 23692 | 2006-12-28 |
| Find all providers in zip 23692 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871784389 | Walgreen Co | Pharmacy | 6608 George Washington Mem Hwy, Yorktown, VA 23692-4801 | 2007-08-08 |
| 1902436017 | Tabb Family Pharmacy Inc | Pharmacy | 1215 George Washington Mem Hwy Ste D, Yorktown, VA 23693-4316 | 2020-01-17 |
| 1053462838 | Kraege Drug Store | Pharmacy | 113 E Main St, Yorktown, TX 78164-2030 | 2007-01-16 |
| 1720182777 | Indiana University Health Ball Memorial Hospital Inc | Pharmacy | 1420 S Pilgrim Blvd, Yorktown, IN 47396-9250 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788381 | Maysons Pharmacy At Retreat Inc | Pharmacy | 110 N Robinson St Ste 101, Richmond, VA 23220-4459 | 2020-10-23 |
| 1275156572 | Herbert T Nguyen | Pharmacy | 5100 Harford Ln, Burke, VA 22015-1510 | 2020-05-20 |
| 1932720174 | Warrington Wellness and Compounding Pharmacy | Pharmacy | 805 Kent Pl Ste 104, Chesapeake, VA 23320-0768 | 2020-04-28 |
| 1467081273 | Chungkang Pharmacy, LLC | Pharmacy | 14637 Lee Hwy # 109b, Centreville, VA 20121-5829 | 2020-04-03 |
| 1174151716 | Vandorn Apothecary LLC | Pharmacy | 5724 Edsall Rd Alexandria Va 22304, Alexandria, VA 22304-4712 | 2020-03-30 |
| 1528691946 | Pharmacy One LLC | Pharmacy | 14904 Jefferson Davis Hwy Ste 101, Woodbridge, VA 22191-3908 | 2020-02-13 |
| 1477193936 | Anderson & Payne Pharmacy Inc | Pharmacy | 16 Gosnell Xing Ste 101, Staunton, VA 24401-6344 | 2020-01-13 |
| 1245876531 | Farmville Family Pharmacy, Inc. | Pharmacy | 1538 South Main Street, Farmville, VA 23901 | 2019-11-21 |
| 1215578901 | Jtj Medical Supply, Inc. | Pharmacy | 1001 Monticello Ave, Norfolk, VA 23510-2564 | 2019-10-03 |
| 1659912889 | Aylin Unal | Pharmacy | 1409 Emmet St N, Charlottesville, VA 22903-4874 | 2019-09-29 |
| 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.