MEDICARE: FAMILY CARE 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	3336L0003X	Long Term Care Pharmacy	0201003368	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2107089	OTHER		PK

General Provider Information

NPI Number	:	1497743553
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY CARE PHARMACY INC

Provider Business Mailing Address
First Line	:	2576 GAYTON CENTRE DR
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23238-6912
Country	:	US
Telephone Number	:	804-740-3300
Fax Number	:	804-740-6443

Provider Business Practice Location Address
First Line	:	2576 GAYTON CENTRE DR
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23238-6912
Country	:	US
Telephone Number	:	804-740-3300
Fax Number	:	804-740-6443

Authorized Official
Title or Position	:	PHARMACY DIRECTOR
Name	:	TIMOTHY OLEY
Credential	:	RPH
Telephone Number	:	804-740-3300

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	09/19/2025

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