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NPI 1174680128 · Non-Pharmacy Dispensing Site · Charlottesville, VA
Provider details
- NPI number
- 1174680128
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Bobbie Thompsom, Owner(434) 971-3560
- License
- 10-F-001 (VA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
169 Seminole Ct
Charlottesville, VA 22901-2848
Phone: (434) 971-3560
Fax: (434) 984-6243
Street-level locationGet directions
Mailing address
169 Seminole Ct
Charlottesville, VA 22901-2848
Registry dates
- Enumerated
- 2007-01-02
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.