Organization
PROFESSIONAL PHARMACY OF DANVILLE
Active
Organization
PROFESSIONAL PHARMACY OF DANVILLE
Active
Other names
PROFESSIONAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JACK THOMSON II RPH (OWNER)
(434) 793-2221
Entity
Organization
Contact information
Practice address
130 WATSON ST, DANVILLE, VA 24541-2835
(434) 793-2221
(434) 797-9722
Mailing address
130 WATSON ST, DANVILLE, VA 24541-2835
(434) 793-2221
(434) 797-9722
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201000675
VA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008502161
—
VA
01
—
4805860
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/18/2006
Last updated
12/15/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up