Provider Demographics
NPI:1083958136
Name:RPBV LLC
Entity Type:Organization
Organization Name:RPBV LLC
Other - Org Name:REED'S PHARMACY 6
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:540-955-2020
Mailing Address - Street 1:15 CROW ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:BERRYVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22611-1327
Mailing Address - Country:US
Mailing Address - Phone:540-955-2020
Mailing Address - Fax:540-955-2002
Practice Address - Street 1:15 CROW ST
Practice Address - Street 2:SUITE A
Practice Address - City:BERRYVILLE
Practice Address - State:VA
Practice Address - Zip Code:22611-1327
Practice Address - Country:US
Practice Address - Phone:540-955-2020
Practice Address - Fax:540-955-2002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAAPPLIED FOR3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy