Provider Demographics
NPI:1376630574
Name:BARRS PHARMACY INC
Entity Type:Organization
Organization Name:BARRS PHARMACY INC
Other - Org Name:BARRS PHARMACY INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITHSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-428-1211
Mailing Address - Street 1:201 VIRGINIA BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-3429
Mailing Address - Country:US
Mailing Address - Phone:757-428-1211
Mailing Address - Fax:757-491-7777
Practice Address - Street 1:201 VIRGINIA BEACH BLVD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-3429
Practice Address - Country:US
Practice Address - Phone:757-428-1211
Practice Address - Fax:757-491-7777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-07
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X
VA02010000293336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1376630574Medicaid
VA008500070Medicaid
2102227OtherPK
VA1376630574Medicaid