Provider Demographics
NPI:1699778340
Name:FERRARO ENTERPRISES INC
Entity type:Organization
Organization Name:FERRARO ENTERPRISES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:R
Authorized Official - Last Name:FERRARO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:804-458-0691
Mailing Address - Street 1:2313 OAKLAWN BLVD
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL
Mailing Address - State:VA
Mailing Address - Zip Code:23860-5032
Mailing Address - Country:US
Mailing Address - Phone:804-458-0691
Mailing Address - Fax:804-458-7377
Practice Address - Street 1:2313 OAKLAWN BLVD
Practice Address - Street 2:
Practice Address - City:HOPEWELL
Practice Address - State:VA
Practice Address - Zip Code:23860-5032
Practice Address - Country:US
Practice Address - Phone:804-458-0691
Practice Address - Fax:804-458-7377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0201002083333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA8514381Medicaid
VA8514381Medicaid