Waverly Pharmacy LLC
Waverly Pharmacy LLC is a healthcare organization registered as Community/Retail Pharmacy in Waverly, VA, holding Type 2 (organization) NPI 1750474938 since 2006. The authorized official on file is Denise Tidwell, Pic/Managing Member.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1750474938 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Waverly Pharmacy LLC |
| Other name | <Unavail> |
| Practice address | 328 W MAIN ST, Waverly, VA, 23890 |
| Phone | 8042201489 |
| Fax | 8048347645 |
| Enumeration date | 2006-10-02 |
| Last updated in NPPES | 2018-01-11 |
Authorized official
| Name | Denise Tidwell |
|---|---|
| Title | Pic/Managing Member |
| Phone | 8043683834 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Primary | 0201000860 | VA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2164332 | Other | — | PK |
Copy-ready billing details
Provider: Waverly Pharmacy LLC NPI: 1750474938 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 328 W MAIN ST, Waverly, VA, 23890
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1972607356 | Alvin Bradley | Individual | Pharmacist | Waverly, VA |
| 1114096542 | Talmage Musgrove | Individual | Pharmacist | Waverly, VA |
| 1174683619 | Jillian Fajna | Individual | Pharmacist | Waverly, VA |
| 1659969418 | Aaron Lohnes | Individual | Pharmacist | Waverly, VA |
| 1699359448 | Horizon Health Services, Inc. | Organization | Community/Retail Pharmacy | Waverly, VA |
Verify this record
Cross-check NPI 1750474938 against the authoritative CMS record: view Waverly Pharmacy LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Waverly Pharmacy LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-01-11.