M. TIMBERLAKE INC (NPI# 1740213248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740213248 |
| Entity Type | Organization |
| Organization Name | M. TIMBERLAKE INC |
| Other Organization Name | M TIMBERLAKE INC |
| Practice Address |
322 E Main St Charlottesville VA 22902-5234 |
| Mailing Address |
Po Box 2022 Charlottesville VA 22902-2022 |
| Practice Telephone | 4342959155 |
| Practice Fax Number | 4342955860 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2014-06-12 |
| Authorized Official Name | JOHN PLANTZ (OWNER AND CEO) |
| Authorized Official Telephone | 4342959155 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0201000435 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 008503605 | 05 | |
| PK | 2102419 | 01 |
| Other Name | Type Code |
|---|---|
| M TIMBERLAKE INC | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | M. TIMBERLAKE INCORPORATED | 322 East Main Street, Charlottesville, Virginia 22901 |
| Street Address |
322 E MAIN ST |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22902-5234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699263608 | Jeraline Rachele Evans | Health Educator | 151 Mcintire Park Dr. (piedmont Family Ymca), Charlottesville, VA 22902 | 2018-04-25 |
| 1457853905 | Elizabeth Blaker Tyson Walter | Speech-Language Pathologist | 401 Mcintire Rd. Room 323, Charlottesville, VA 22902 | 2018-03-01 |
| 1376056317 | Erin E Horn | Psychologist | 302 Park St Ste 204, Charlottesville, VA 22902 | 2017-11-13 |
| 1023429982 | Barrie Gleason Carveth | Nurse Practitioner | 435 Merchant Walk Sq, Charlottesville, VA 22902 | 2014-05-14 |
| 1285054825 | Alfred N. Yarbrough | Dentist | 1101 East Jefferson Street, Suite 7, Charlottesville, VA 22902 | 2014-04-22 |
| 1801227400 | Fox & Brantley Internal Medicine, A Division of Anchor Healthcare, Plc | Internal Medicine | 908 E Jeffeson St, Suite G1, Charlottesville, VA 22902 | 2013-12-06 |
| 1245557982 | Wendy Price Summer | Counselor | 509 Park Street, Charlottesville, VA 22902 | 2010-04-20 |
| 1659520914 | Christie Marie Savage | Acupuncturist | 108 5th St Se, Suite 207, Charlottesville, VA 22902 | 2008-09-11 |
| 1376733063 | Alison C. Derbes | Radiology | 107 S 1st St, Apartment 401, Charlottesville, VA 22902 | 2007-07-28 |
| 1275732901 | Cali Belknap Gaston | Acupuncturist | 420 Third Street, Ne, Charlottesville, VA 22902 | 2007-07-12 |
| Find all providers in zip 22902 | ||||
| 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 |
|---|---|---|---|---|
| 1659912889 | Aylin Unal | Pharmacy | 1409 Emmet St N, Charlottesville, VA 22903-4874 | 2019-09-29 |
| 1356875504 | Top Notch Pharmacy, LLC | Pharmacy | 943 Preston Ave, Charlottesville, VA 22903-4421 | 2017-04-14 |
| 1649669904 | Costco Wholesale Corporation | Pharmacy | 3171 District Ave, Charlottesville, VA 22901 | 2015-01-09 |
| 1811329519 | Rector & Visitors of The University of Virginia | Pharmacy | 400 Emmet Street S, 4th Floor, Central Grounds Garage, Charlottesville, VA 22903-2481 | 2013-08-05 |
| 1386923761 | Harris Teeter, LLC | Pharmacy | 545 Radford Ln, Charlottesville, VA 22903-7465 | 2011-08-16 |
| 1447358049 | Virginia Cvs Pharmacy LLC | Pharmacy | 1170 Emmet St N, Charlottesville, VA 22903-4836 | 2006-09-20 |
| 1427152180 | Virginia Cvs Pharmacy, L.L.C. | Pharmacy | 208 E Main St, Charlottesville, VA 22902-5232 | 2006-09-12 |
| 1124122890 | Virginia Cvs Pharmacy, L.L.C. | Pharmacy | 1133 5th St Sw, Charlottesville, VA 22902-6464 | 2006-09-12 |
| 1003910779 | Virginia Cvs Pharmacy, L.L.C. | Pharmacy | 3420 Seminole Trl, Charlottesville, VA 22911-8221 | 2006-09-12 |
| 1568566990 | Harris Teeter, LLC | Pharmacy | 159 Community Dr., Charlottesville, VA 22911 | 2006-09-07 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22902 |
Please comment or provide details below to improve the information on M. TIMBERLAKE INC.
| 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.