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MEDICAL PARK PHARMACY
NPI 1366541229
Pharmacy - Community/Retail Pharmacy in Grundy, VA

Active since September 21, 2006CLIA 49D2187685 · Waiver
1503 SLATE CREEK RD, GRUNDY, VA 24614(276) 935-6455(276) 935-2981 Get Directions Write a Review

NPPES record last updated: May 5, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Medical Park Pharmacy NPPES

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

MEDICAL PARK PHARMACY (NPI 1366541229) is a healthcare organization registered as a community/retail pharmacy in Grundy, Virginia and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through July 6, 2028 and lists Leanne Vanmeter, President, as its authorized official.

NPPES Registry Identity

NPI1366541229
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMEDICAL PARK PHARMACY INC
Location Address1503 SLATE CREEK RDGrundy, VA 24614-6974
Mailing Address1503 Slate Creek RdGrundy, VA 24614-6974 · (276) 935-6455 · Fax (276) 935-2981
Phone(276) 935-6455
Fax(276) 935-2981
Organization SubpartNo
Authorized OfficialLeanne VanmeterPresident · (276) 935-6455
Enumeration DateSeptember 21, 2006
Last NPPES UpdateMay 5, 2016
✔ NPI 1366541229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in VA · 0201002298
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
1503 SLATE CREEK RD, Grundy, VA 24614
Open in Google Maps ↗

Other Names 1

Doing Business AsMedical Park Pharmacy

Other Identifiers 4

Medicaid0144027000WV
Medicaid8515476VA
Medicaid54019989KY
Other2104298Pk

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 49D2187685

Medical Park Pharmacy Of Virginia Inc · Grundy, VA
Active · expires Jul 6, 2028
CLIA Number49D2187685
Laboratory TypePharmacy
Certificate Effective DateJuly 7, 2026
Certificate Expiration DateJuly 6, 2028
Laboratory DirectorJohnathan Deel
Laboratory Phone(276) 935-6455
Laboratory LocationMedical Park Pharmacy Of Virginia Inc1503 Slate Creek Road, Grundy, VA 24614
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 2

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.
38 services38 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.
34 services34 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TABATHA L JUSTUS PHARMD
Pharmacist
1503 SLATE CREEK RD
GRUNDY, VA 24614
Buchanan County (276) 935-6455
JOHNATHAN WESLEY DEEL PHARMD
Pharmacist
1503 SLATE CREEK RD
GRUNDY, VA 24614
Buchanan County (276) 935-6455

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 Medical Park Pharmacy Inc's NPI number?

The NPI number for Medical Park Pharmacy Inc is 1366541229. It was assigned to this organization in the NPPES registry on September 21, 2006. The provider is doing business as Medical Park Pharmacy.

Where is Medical Park Pharmacy Inc located?

Medical Park Pharmacy Inc is located at 1503 Slate Creek Rd, Grundy, VA 24614. The listed phone number is (276) 935-6455.

What is Medical Park Pharmacy Inc's specialty?

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

Does Medical Park Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2187685) is associated with this NPI, valid through July 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medical Park 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 47 other insurers list Medical Park 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 Medical Park Pharmacy Inc was last updated on May 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.