WELLMONT HEALTH SYSTEM (NPI# 1760493258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760493258 |
| Entity Type | Organization |
| Organization Name | WELLMONT HEALTH SYSTEM |
| Other Organization Name | THE BIG STONE GAP PHARMACY |
| Practice Address |
1980 Holton Ave E # 1 Big Stone Gap VA 24219-3366 |
| Practice Telephone | 2765238702 |
| Practice Fax Number | 2765238750 |
| Mailing Telephone | 2765238702 |
| Mailing Fax Number | 2765238750 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2011-08-08 |
| Authorized Official Name | KAY WRIGHT (PRMCT DIRECTOR) |
| Authorized Official Telephone | 2765238702 |
| 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 |
0201002998 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 54032909 | 05 | |
| VA | 8543909 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4826547 | 01 |
| Other Name | Type Code |
|---|---|
| THE BIG STONE GAP PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568905925 | Wellmont Health System | Clinic/Center | 1519 Main Street, Sneedville, TN 37869 | 2016-12-02 |
| 1316130602 | Wellmont Health System | Skilled Nursing Facility | 310 3rd St Ne, Norton, VA 24273 | 2007-08-21 |
| 1407049877 | Wellmont Health System | General Acute Care Hospital | 9480 Hwy 805, Jenkins, KY 41537-0472 | 2007-08-20 |
| 1144437716 | Wellmont Health System | Assisted Living Facility | 2000 Greenway St, Kingsport, TN 37660-3020 | 2007-05-16 |
| 1760405849 | Wellmont Health System | Psychiatric Unit | 1905 American Way, Kingsport, TN 37660-5882 | 2006-07-26 |
| 1962432088 | Wellmont Health System | Hospice, Inpatient | 280 Steeles Rd, Bristol, TN 37620 | 2006-07-04 |
| 1033191044 | Wellmont Health System | Home Health | Cloverleaf Square, Building G, Big Stone Gap, VA 24219 | 2005-11-16 |
| 1972884005 | Wellmont Health System | Clinic/Center | 671 Highway 58 E, Norton, VA 24273-3007 | 2011-09-02 |
| 1326329459 | Wellmont Health System | Spec/Tech, Cardiovascular | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 | 2011-09-02 |
| 1699056721 | Wellmont Health System | Clinic/Center | 1230 Volunteer Pkwy, Bristol, TN 37620-4628 | 2011-09-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | WELLMONT HEALTH SYSTEM | 303 Med Tech Parkway, Suite 300, Johnson City, Tennessee 37604 |
| Street Address |
1980 HOLTON AVE E # 1 |
| City | BIG STONE GAP |
| State | VA |
| Zip Code | 24219-3366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609408962 | Dillon Wayne Roberts | Private Vehicle | 2101 Seterra St, Big Stone Gap, VA 24219 | 2020-02-05 |
| 1609427525 | Joan M Daniel | Technician | 800 Buffalo Ridge Road, Big Stone Gap, VA 24219 | 2019-09-23 |
| 1932634953 | Big Stone Economy Drug Inc | Pharmacy | 205 East 5th Street North, Big Stone Gap, VA 24219 | 2017-04-27 |
| 1639519655 | Family Preservation Services, Inc. | Community/Behavioral Health | Two Champions Avenue, Big Stone Gap, VA 24219 | 2013-07-05 |
| 1134464456 | Family Preservation Services, Inc | Community/Behavioral Health | 212 Monta Vista Lane, Big Stone Gap, VA 24219 | 2012-11-28 |
| 1902158892 | Tommie Jo Harding | Registered Nurse | 1508 Third Ave East, Big Stone Gap, VA 24219 | 2012-10-03 |
| 1366793002 | Rebecca Ely Johnson | Registered Nurse | 1508 3rd Ave. East, Big Stone Gap, VA 24219 | 2012-09-20 |
| 1770833238 | Melinda Dawn Hamm | Licensed Practical Nurse | 1508 3rd Ave East, Big Stone Gap, VA 24219 | 2012-09-12 |
| 1801197470 | Family Preservation Services, Inc. | Community/Behavioral Health | 170 Mountain View Circle, Big Stone Gap, VA 24219 | 2010-11-12 |
| 1245498062 | Joshua Heath Dalton | Neuromusculoskeletal Medicine & OMM | 14 East 27st N, Ste 2, Big Stone Gap, VA 24219 | 2008-05-29 |
| Find all providers in zip 24219 | ||||
| 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 |
|---|---|---|---|---|
| 1932634953 | Big Stone Economy Drug Inc | Pharmacy | 205 East 5th Street North, Big Stone Gap, VA 24219 | 2017-04-27 |
| 1437241791 | Mutual Drug,inc. | Pharmacy | 314 Wood Avenue E., Po Drawer M, Big Stone Gap, VA 24219-0210 | 2006-09-28 |
| 1568877470 | Union Drug, Inc. | Pharmacy | 310 Cloverleaf Sq, Building A Suite 1, Big Stone Gap, VA 24219-2752 | 2014-06-30 |
| 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 | ||||
| City | BIG STONE GAP |
| Zip Code | 24219 |
Please comment or provide details below to improve the information on WELLMONT HEALTH SYSTEM.
| 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.