OrganizationActive
Waverly Pharmacy LLC
NPI 1750474938 · Community/Retail Pharmacy · Waverly, VA
Waverly Pharmacy LLC is a Community/Retail Pharmacy organization in Waverly, VA (NPI 1750474938).
Provider details
- NPI number
- 1750474938
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Denise Tidwell, Pic/Managing Member(804) 368-3834
- License
- 0201000860 (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
328 W Main St
Waverly, VA 23890-3235
Phone: (804) 220-1489
Fax: (804) 834-7645
Street-level locationGet directions
Mailing address
328 W Main St
Waverly, VA 23890-3235
Other names (DBA / former)
- Doing business as
- Waverly Pharmacy, LLC
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2018-01-11
Frequently asked questions
- What is Waverly Pharmacy LLC's NPI number?
- Waverly Pharmacy LLC's National Provider Identifier (NPI) is 1750474938, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Waverly Pharmacy LLC?
- Waverly Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Waverly Pharmacy LLC located?
- Waverly Pharmacy LLC's practice location on file with NPPES is 328 W Main St, Waverly, VA 23890-3235.
- What is Waverly Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Waverly Pharmacy LLC is (804) 220-1489.
- Who is the authorized official for Waverly Pharmacy LLC?
- The authorized official listed on Waverly Pharmacy LLC's NPPES record is Denise Tidwell, Pic/Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Waverly Pharmacy LLC's NPI active?
- Yes — Waverly Pharmacy LLC's NPI (1750474938) is active in the NPPES registry as of the last update on 2018-01-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.