Southside Community Hospital, Inc.
NPI 1083053672ActiveOrganization· Pharmacy, Clinic Pharmacy· Farmville, VA
Pharmacy, Clinic Pharmacy in Farmville, Virginia, registered in NPPES in June 2013. The authorized official on file is Doug Davenport, Cfo.
Overview
| NPI | 1083053672 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 18, 2013 |
| Last updated in NPPES | Mar 30, 2021 |
| Certified by provider | Mar 30, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Clinic Pharmacy Primary | 3336C0002X | 0201001262 | VA |
| Pharmacy | 333600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|