IMGRX EAST, LLC (NPI# 1699223578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699223578 |
| Entity Type | Organization |
| Organization Name | IMGRX EAST, LLC |
| Other Organization Name | SOUTHWEST VIRGINIA COMMUNITY PHARMACY |
| Practice Address |
2195 Euclid Ave Ste 6 Bristol VA 24201-3655 |
| Mailing Address |
1999 Harrison St Ste 1530 Oakland CA 94612-4730 |
| Practice Telephone | 5125962930 |
| Practice Fax Number | 7608593614 |
| Mailing Telephone | 5107706343 |
| Mailing Fax Number | 5122335828 |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2019-01-01 |
| Authorized Official Name | KEVIN REW (GENERAL COUNSEL & COO) |
| Authorized Official Telephone | 5107706343 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Southwest Virginia Community Pharmacy | Doing Business As Name - Organization |
| Street Address |
2195 EUCLID AVE STE 6 |
| City | BRISTOL |
| State | VA |
| Zip Code | 24201-3655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275545253 | Andrea Annette Mcclintic | Family Medicine | 2195 Euclid Ave Ste 6, Bristol, VA 24201-3655 | 2006-08-11 |
| 1407469596 | Southwest Virginia Community Health Systems Inc | Pharmacy | 2195 Euclid Ave Ste 6, Bristol, VA 24201-3655 | 2020-08-28 |
| 1497195259 | Katie Cynthia Olubowale | Family Medicine | 2195 Euclid Ave Ste 6, Bristol, VA 24201-3655 | 2013-06-26 |
| 1649496209 | Levester Thompson | General Practice | 2195 Euclid Ave Ste 6, Bristol, VA 24201-3655 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699234716 | Vanessa Ruiz Sutherland | Speech-Language Pathologist | Stonewall Jackson Elementary School, 2045 Euclid Ave, Bristol, VA 24201 | 2019-03-18 |
| 1003394693 | Cplace Bristol Snf, LLC | Clinic/Center | 109 Village Circle, Bristol, VA 24201 | 2018-08-06 |
| 1871001420 | Karen Lavonne Ford | Case Manager/Care Coordinator | 727 Portsmouth Avenue, Bristol, VA 24201 | 2018-01-17 |
| 1558872176 | City of Bristol Va | Ambulance | 211 Lee St, Bristol, VA 24201 | 2017-10-23 |
| 1639396989 | Barry Robert Matheson | Dentist | 817 Gate City Highway, Bristol, VA 24201 | 2007-04-19 |
| 1942338082 | Joann Wolfe Vaughn | Nurse Practitioner | 103 North Street, Ridgeview Pavilion, Bristol, VA 24201 | 2007-03-01 |
| 1003982968 | American Medical Devices, Inc. | Durable Medical Equipment & Medical Supplies | 1788 Island Rd, Bristol, VA 24201 | 2006-11-24 |
| 1134224827 | Theresa D Morris | Licensed Practical Nurse | 510 Cumberland St, Executive Plaza 4th Floor, Bristol, VA 24201 | 2006-09-14 |
| 1083718605 | Tomhave Olson Dental Associates | Dentist | 510 Cumberland St., Executive Plaza, 4th Floor, Bristol, VA 24201 | 2006-09-12 |
| 1972606408 | Terry H Gillenwater | Chiropractor | 2110 Euclid Ave, Bristol, VA 24201 | 2006-09-07 |
| Find all providers in zip 24201 | ||||
| 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 |
|---|---|---|---|---|
| 1881150811 | Wilson Pharmacy, Inc. | Pharmacy | 350 Blountville Hwy Ste 102, Bristol, TN 37620-1676 | 2019-02-14 |
| 1609346543 | Bristol Discount Pharmacy Inc | Pharmacy | 247 Mill St, Bristol, PA 19007-4803 | 2018-12-04 |
| 1407950207 | Rhode Island Cvs Pharmacy, L.L.C. | Pharmacy | 400 Metacom Ave, Bristol, RI 02809-5188 | 2006-09-12 |
| 1083717722 | Virginia Cvs Pharmacy L L C | Pharmacy | 31 E Valley Dr, Bristol, VA 24201-2822 | 2006-09-07 |
| 1205939907 | Tennessee Cvs Pharmacy LLC | Pharmacy | 3030 W State St, Bristol, TN 37620-1719 | 2006-09-07 |
| 1548363237 | Tennessee Cvs Pharmacy, L.L.C. | Pharmacy | 1379 Volunteer Pkwy, Bristol, TN 37620-5709 | 2006-09-07 |
| 1568477529 | Walgreen Co | Pharmacy | 1460 Lee Hwy, Bristol, VA 24201-2865 | 2006-07-29 |
| 1700805934 | Professional Pharmaceutical Services, Inc. | Pharmacy | 1883 Euclid Ave, Bristol, VA 24201-3605 | 2006-07-19 |
| 1043243439 | Pharmacy Investment Coordinators Inc | Pharmacy | 11049 Nw State Road 20, Bristol, FL 32321-6406 | 2006-07-08 |
| 1275133969 | Bristol Health Pharmacy, LLC | Pharmacy | 41 Brewster Rd, Bristol, CT 06010-5161 | 2020-10-30 |
| Find all providers in BRISTOL | ||||
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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.