Courtney Brooke Mitchell, Pharm D
Pharmacist in Grundy, VA. Individual provider (NPI-1).
NPI number1386523595
StatusActive
Last updated in NPPESSep 1, 2025
Details
- NPI
- 1386523595
- Entity type
- Individual (NPI-1)
- Name
- Courtney Brooke Mitchell
- Credential
- Pharm D
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 1, 2025
- Certification date
- Sep 1, 2025
- Last updated
- Sep 1, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 0202217923 | VA | Yes |
Practice location
1123 Plaza DrGrundy, VA 24614-6780
Phone 276-935-9406
Mailing address
5225 Riverside DrRaven, VA 24639-8618
Phone 276-701-9412
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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