Provider Demographics
NPI:1730265406
Name:CHRISTY B. BROWN, INC.
Entity type:Organization
Organization Name:CHRISTY B. BROWN, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:B
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:804-725-2556
Mailing Address - Street 1:PO BOX 570
Mailing Address - Street 2:
Mailing Address - City:MATHEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23109-0570
Mailing Address - Country:US
Mailing Address - Phone:804-725-2556
Mailing Address - Fax:804-725-0786
Practice Address - Street 1:10858 BUCKLEY HALL RD
Practice Address - Street 2:
Practice Address - City:MATHEWS
Practice Address - State:VA
Practice Address - Zip Code:23109-0570
Practice Address - Country:US
Practice Address - Phone:804-725-2556
Practice Address - Fax:804-725-0786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0015344016332B00000X
VA0201002709333600000X
VA3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA4824391OtherNCPDP #
VA008521221Medicaid
VABT2046351OtherDEA #
VA0720870001Medicare NSC