JEFFERSON GOOD NEIGHBOR PHARMACY
NPI 1871731448
Pharmacy - Community/Retail Pharmacy in Palmyra, VA

Active since February 04, 2009CLIA 49D1098758 · Waiver
194 TURKEYSAG TRL STE B, PALMYRA, VA 22963(434) 589-7902(434) 589-7912 Get Directions Write a Review

NPPES record last updated: April 7, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2016, Oct 19, 2016 (2 updates tracked since 2016).

About Jefferson Good Neighbor Pharmacy NPPES

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

JEFFERSON GOOD NEIGHBOR PHARMACY (NPI 1871731448) is a healthcare organization registered as a community/retail pharmacy in Palmyra, Virginia and active in the NPI registry since February 2009. The organization holds a CLIA Waiver certificate valid through April 26, 2027 and lists Kelly Oliver, Pic, as its authorized official.

NPPES Registry Identity

NPI1871731448
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameJEFFERSON PHARMACY
Location Address194 TURKEYSAG TRL STE BPalmyra, VA 22963-2661
Mailing Address194 Turkeysag Trl Ste BPalmyra, VA 22963-2661 · (434) 589-7902 · Fax (434) 589-7912
Fax(434) 589-7912
Organization SubpartNo
Authorized OfficialKelly OliverPic · (434) 589-7902
Enumeration DateFebruary 4, 2009
Last NPPES UpdateApril 7, 20172 updates tracked since enumeration
NPI 1871731448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in VA · 0201004268
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
194 TURKEYSAG TRL STE B, Palmyra, VA 22963

Other Names 1

Doing Business AsJefferson Good Neighbor Pharmacy

Other Identifiers 3

Medicare NSC6918750001
Medicaid1871731448VA
Other2118991Pk

Accepted 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 49D1098758

Jefferson Good Neighbor Pharmacy · Palmyra, VA
Active · expires Apr 26, 2027
CLIA Number49D1098758
Laboratory TypePharmacy
Certificate Effective DateApril 27, 2025
Certificate Expiration DateApril 26, 2027
Laboratory DirectorKellly S. Oliver
Laboratory Phone(434) 589-7902
Laboratory LocationJefferson Good Neighbor Pharmacy194 B Turkeysag Trail, Palmyra, VA 22963
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.
440 services440 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.
384 services384 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.
58 services58 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.
58 services58 patients

Other Providers at the Same Location NPPES 4

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

Pharmacist
194 TURKEYSAG TRL STE B
PALMYRA, VA 22963
Pharmacist
194 TURKEYSAG TRL STE B
PALMYRA, VA 22963
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
194 TURKEYSAG TRL STE B
PALMYRA, VA 22963
Pharmacist
194 TURKEYSAG TRL STE B
PALMYRA, VA 22963

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 Jefferson Pharmacy's NPI number?

The NPI number for Jefferson Pharmacy is 1871731448. It was assigned to this organization in the NPPES registry on February 4, 2009. The provider is doing business as Jefferson Good Neighbor Pharmacy.

Where is Jefferson Pharmacy located?

Jefferson Pharmacy is located at 194 Turkeysag Trl Ste B, Palmyra, VA 22963. The listed phone number is (434) 589-7902.

What is Jefferson Pharmacy's specialty?

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

Does Jefferson Pharmacy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1098758) is associated with this NPI, valid through April 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jefferson Pharmacy 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 Jefferson Pharmacy 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 Jefferson Pharmacy was last updated on April 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.