MEDICARE: FORK UNION PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	0201000280	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	2102630	OTHER	PK

General Provider Information

NPI Number	:	1417970880
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FORK UNION PHARMACY INC

Provider Business Mailing Address
First Line	:	PO BOX 187
Second Line	:
City	:	FORK UNION
State	:	VA
Zip	:	23055-0187
Country	:	US
Telephone Number	:	434-842-3288
Fax Number	:	434-842-1447

Provider Business Practice Location Address
First Line	:	4316 B JAMES MADISON HWY
Second Line	:
City	:	FORK UNION
State	:	VA
Zip	:	23055
Country	:	US
Telephone Number	:	434-842-3208
Fax Number	:	434-842-1447

Authorized Official
Title or Position	:	OWNER AND PHARMACIST
Name	:	IVAN YONCE
Credential	:
Telephone Number	:	434-842-3208

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	10/04/2016

Similar Medicare Providers

1235189614 — MR. RICHARD STEPHEN TADDEI ATC
Practice Location Address:

4744 JAMES MADISON HWY , FORK UNION MILITARY ACADEMY
FORK UNION, VA
23055

Practice Phone: 434-842-4287
Practice Fax: 434-842-4299

1255355681 — RUXTON HEALTH CARE X, LLC
Practice Location Address:

4238 JAMES MADISON HWY
FORK UNION, VA
23055

Practice Phone: 434-842-2916
Practice Fax: 434-842-5100

1942393822 — FORK UNION MEDICAL ASSOCIATES INC
Practice Location Address:

4064 JAMES MADISON HIGHWAY
FORK UNION, VA
23055

Practice Phone: 434-842-3244
Practice Fax: 434-842-1110

1487736807 — REBECCA K MAYO-PITTS LCSW
Practice Location Address:

4064 JAMES MADISON HWY
FORK UNION, VA
23055

Practice Phone: 434-825-8069
Practice Fax:

1689743221 — LINDA F. STAIGER M.D.
Practice Location Address:

4064 JAMES MADISON HWY
FORK UNION, VA
23055

Practice Phone: 434-842-3244
Practice Fax: 434-842-1110

1720114226 — DR. RANDOLPH EWING LANFORD MD
Practice Location Address:

4064 JAMES MADISON HWY
FORK UNION, VA
23055

Practice Phone: 434-842-3244
Practice Fax: 434-842-1110

Directions to “FORK UNION PHARMACY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.