MEDSPACK LTC INC (NPI# 1942847900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942847900 |
| Entity Type | Organization |
| Organization Name | MEDSPACK LTC INC |
| Practice Address |
14121 Parke Long Ct Ste 112 Chantilly VA 20151-1647 |
| Mailing Address |
488 Adam Ln Mechanicsburg PA 17050-2478 |
| Practice Telephone | 8776337247 |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |
| Authorized Official Name | PRAMOD ARIKERI (PRESIDENT) |
| Authorized Official Telephone | 8776337247 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Medspack LTC VA | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Medspack Ltc Inc. | 135 N Duke St, York, Pennsylvania 17401 |
| Street Address |
14121 PARKE LONG CT STE 112 |
| City | CHANTILLY |
| State | VA |
| Zip Code | 20151-1647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635695 | Sabah Home Care | Home Health | 4221 Walney Rd Suite 500 C, Chantilly, VA 20151 | 2020-06-30 |
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| 1376032714 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 14337 Newbrook Drive, Suite 400, Chantilly, VA 20151 | 2018-05-01 |
| 1013405950 | Chantilly Modern Dentistry, PC | Dentist | 14337 Newbrook Dr., Suite 200, Chantilly, VA 20151 | 2018-04-26 |
| 1972090389 | Wegmans Food Markets, Inc. | Pharmacy | 14361 Newbrook Dr., Chantilly, VA 20151 | 2018-04-20 |
| 1922526714 | Cynthia Anne Biggar | Specialist/Technologist | 13613 Bare Island Drive, Chantilly, VA 20151 | 2017-09-01 |
| 1497297717 | Rebekah Lee Hinders | Nurse Practitioner | 3914 Centrevill Rd, Suite 101, Chantilly, VA 20151 | 2016-11-17 |
| 1043761117 | Victoria Ranti Balogun | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-10-24 |
| 1619424694 | Erin Booker | Nurse Practitioner | Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-09-07 |
| 1326419078 | Amparo Emilia Kidd | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2015-10-07 |
| Find all providers in zip 20151 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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] |
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| 1790202695 | Friendship Pharmacy, Inc. | Pharmacy | 327 Hershberger Rd., Roanoke, VA 24012 | 2017-08-23 |
| 1346770856 | Claypool Hill Pharmacy | Pharmacy | 12252 Governor G C Peery Hwy, Pounding Mill, VA 24637-4272 | 2017-06-18 |
| 1841738895 | Martinsville Pharmacy Inc | Pharmacy | 1049 Brookdale St Ste A, Martinsville, VA 24112-3972 | 2017-02-09 |
| 1457898892 | Valley Pharmacies, Inc. | Pharmacy | 6701 Peters Creek Rd Ste 109, Roanoke, VA 24019-4060 | 2017-01-24 |
| 1679929145 | Central Virginia Pharmacy Consultants PC | Pharmacy | 20276 Timberlake Rd, Lynchburg, VA 24502-7214 | 2016-05-13 |
| 1134587181 | Pharmacy Corporation of America | Pharmacy | 4423 Pheasant Ridge Rd, Suite 205, Roanoke, VA 24014-5299 | 2016-02-05 |
| 1447500400 | Guardian Pharmacy of Virginia LLC | Pharmacy | 860 Stafford Umberger Dr, Wytheville, VA 24382 | 2012-09-17 |
| 1376825547 | Legacy Consultant Pharmacy | Pharmacy | 7505 Right Flank Rd Ste 710, Mechanicsville, VA 23116-3865 | 2011-09-14 |
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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.