Appalachia Pharmacy INC
Pharmacy, Community/Retail Pharmacy in Appalachia, VA. Organization (NPI-2).
NPI number1720199573
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1720199573
- Entity type
- Organization (NPI-2)
- Legal business name
- Appalachia Pharmacy INC
- Organization subpart
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Aug 22, 2020
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 |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 0201002199 | VA | Yes |
Practice location
125 Callahan AveAppalachia, VA 24216-1203
Phone 276-565-0445 · Fax 276-565-1810
Mailing address
125 Callahan AveAppalachia, VA 24216-1203
Phone 276-565-0445 · Fax 276-565-1810
Authorized official
James Earnest Rivers
President/Owner
2765650445
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