Timberlake Health and Wellness
NPI 1083745509ActiveOrganization· Pharmacy, Compounding Pharmacy· Lynchburg, VA
Pharmacy, Compounding Pharmacy in Lynchburg, Virginia, registered in NPPES in March 2007, part of Blue Ridge Apothecary Inc. The authorized official on file is Jodi V. Ettare, R.PH., Supervising Pharmacist. Enrolled in Medicare as part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1083745509 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Blue Ridge Apothecary Inc |
| NPI issued | Mar 8, 2007 |
| Last updated in NPPES | Sep 16, 2026 |
| Certified by provider | Sep 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Compounding Pharmacy Primary | 3336C0004X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy | 333600000X | 0201004144 | VA |
| Pharmacy, Long Term Care Pharmacy | 3336L0003X | 0201004144 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (VA) |
|---|
Other Pharmacy, Compounding Pharmacy providers in Lynchburg
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