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WAVERLY PHARMACY, LLC
NPI 1750474938
Pharmacy - Community/Retail Pharmacy in Waverly, VA

Active since October 02, 2006
328 W MAIN ST, WAVERLY, VA 23890(804) 220-1489(804) 834-7645 Get Directions Write a Review

NPPES record last updated: January 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 11, 2018, Feb 20, 2017, Feb 14, 2017 (3 updates tracked since 2017).

About Waverly Pharmacy, Llc NPPES

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

WAVERLY PHARMACY, LLC (NPI 1750474938) is a healthcare organization registered as a community/retail pharmacy in Waverly, Virginia and active in the NPI registry since October 2006. The organization lists Denise Marie Tidwell, Pic/managing Member, as its authorized official.

NPPES Registry Identity

NPI1750474938
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAVERLY PHARMACY LLC
Location Address328 W MAIN STWaverly, VA 23890-3235
Mailing Address328 W Main StWaverly, VA 23890-3235 · (804) 220-1489 · Fax (804) 834-7645
Phone(804) 220-1489
Fax(804) 834-7645
Organization SubpartNo
Authorized OfficialDenise Marie TidwellPic/managing Member · (804) 368-3834
Enumeration DateOctober 2, 2006
Last NPPES UpdateJanuary 11, 20183 updates tracked since enumeration
✔ NPI 1750474938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in VA · 0201000860
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.
328 W MAIN ST, Waverly, VA 23890
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Other Names 1

Doing Business AsWaverly Pharmacy, Llc

Other Identifiers 1

Other2164332Pk

Other Providers at the Same Location NPPES 5

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

MR. TALMAGE THOMAS MUSGROVE III RPH
Pharmacist
328 W MAIN ST
WAVERLY, VA 23890
Sussex County (804) 834-2233
MRS. JILLIAN GRIZZARD FAJNA RPH
Pharmacist
328 W MAIN ST, WAVERLY DRUGS
WAVERLY, VA 23890
Sussex County (804) 834-2233
AARON DAVID LOHNES RPH.
Pharmacist
328 W MAIN ST
WAVERLY, VA 23890
Sussex County (804) 429-8602
HORIZON HEALTH SERVICES, INC.
Pharmacy (Community/Retail Pharmacy)
328 W MAIN ST
WAVERLY, VA 23890
Sussex County (804) 429-8602
ALVIN BRADLEY RPH PHARMACIST
Pharmacist
328 W MAIN ST
WAVERLY, VA 23890
Sussex County (804) 834-2233

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 Waverly Pharmacy LLC's NPI number?

The NPI number for Waverly Pharmacy LLC is 1750474938. It was assigned to this organization in the NPPES registry on October 2, 2006. The provider is doing business as Waverly Pharmacy, LLC.

Where is Waverly Pharmacy LLC located?

Waverly Pharmacy LLC is located at 328 W Main St, Waverly, VA 23890. The listed phone number is (804) 220-1489.

What is Waverly Pharmacy LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Waverly Pharmacy LLC was last updated on January 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.