1366595753 NPI number — BUCHANAN PHARMACIES, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366595753 NPI number — BUCHANAN PHARMACIES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BUCHANAN PHARMACIES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366595753
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/11/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 356
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PATRICK SPRINGS
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
24133-0356
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
276-694-3100
Provider Business Mailing Address Fax Number:
276-694-5016

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
22042 JEB STUART HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PATRICK SPRINGS
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24133
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
276-694-3100
Provider Business Practice Location Address Fax Number:
276-694-5016
Provider Enumeration Date:
01/19/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BUCHANAN
Authorized Official First Name:
CHARLES
Authorized Official Middle Name:
HENRY
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
276-694-3100

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  0201002258 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0004X , with the licence number: 0201002258 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 4819693 . This is a "NCPDP NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 8506531 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".