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BLACKSBURG PHARMACY
NPI 1205255312
Pharmacy - Community/Retail Pharmacy in Blacksburg, VA

Active since April 16, 2014CLIA 49D2249222 · Waiver
1445 N MAIN ST, BLACKSBURG, VA 24060(540) 552-3000(540) 552-3005 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 9, 2024, Sep 5, 2024, Aug 23, 2024 and 1 more (4 updates tracked since 2018).

About Blacksburg Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACKSBURG PHARMACY (NPI 1205255312) is a healthcare organization registered as a community/retail pharmacy in Blacksburg, Virginia and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through January 18, 2028 and lists Senthil Marimuthu, President, as its authorized official.

NPPES Registry Identity

NPI1205255312
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBLACKSBURG PHARMACY INC
Location Address1445 N MAIN STBlacksburg, VA 24060-2563
Mailing Address1445 N Main StBlacksburg, VA 24060-2563 · (540) 552-3000 · Fax (540) 552-3005
Phone(540) 552-3000
Fax(540) 552-3005
Organization SubpartNo
Authorized OfficialSenthil MarimuthuPresident · (540) 320-3345
Enumeration DateApril 16, 2014
Last NPPES UpdateSeptember 9, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1205255312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in VA · 0201004568
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
1445 N MAIN ST, Blacksburg, VA 24060
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Other Names 1

Doing Business AsBlacksburg Pharmacy

Other Identifiers 2

Medicaid1205255312VA
Other2145266Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2249222

Blacksburg Pharmacy · Blacksburg, VA
Active · expires Jan 18, 2028
CLIA Number49D2249222
Laboratory TypePharmacy
Certificate Effective DateJanuary 19, 2026
Certificate Expiration DateJanuary 18, 2028
Laboratory DirectorDaniel J. Puckett
Laboratory Phone(540) 552-3000
Laboratory LocationBlacksburg Pharmacy1445 North Main Street, Blacksburg, VA 24060
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
1,280 services1,274 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
658 services654 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
531 services531 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
114 services114 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
114 services114 patients
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 90694
The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.
11 services11 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blacksburg Pharmacy Inc's NPI number?

The NPI number for Blacksburg Pharmacy Inc is 1205255312. It was assigned to this organization in the NPPES registry on April 16, 2014. The provider is doing business as Blacksburg Pharmacy.

Where is Blacksburg Pharmacy Inc located?

Blacksburg Pharmacy Inc is located at 1445 N Main St, Blacksburg, VA 24060. The listed phone number is (540) 552-3000.

What is Blacksburg Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Blacksburg Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2249222) is associated with this NPI, valid through January 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Blacksburg Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Blacksburg Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blacksburg Pharmacy Inc was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.