TRI AREA COMMUNITY HEALTH — NPI 1477619179 (Licensed & Credentialed Suppliers — Pharmacy, Community

CMS-1500 Box 24J / 33a • NPI

1477619179

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

3336C0003X (CMS 58)

Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy

Box 32 Service Location & ZIP+4

180 FERRUM MOUNTAIN RD, FERRUM, VA, 24088-2939

✓ 9-Digit EDI 837 ZIP+4 (24088-2939)

Practice Phone & Referral Fax

(540) 365-9992

Fax: (540) 365-2718

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1477619179 (TRI AREA COMMUNITY HEALTH) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1477619179)

Medicare Beneficiaries

Total Billed Services

Distinct CPT/HCPCS Codes

Medicare Allowed Total

$7,583.94

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCS	Clinical Procedure Description	Services
`90653`	Influenza vaccine, inactivated	29
`90677`	Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	13
`G0008`	Administration of influenza virus vaccine	34
`G0009`	Administration of pneumococcal vaccine	13

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1477619179` (NPI-2 Organization / Facility)
Provider / Legal Name	TRI AREA COMMUNITY HEALTH
Plain-English Specialty	Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy NUCC Code: `3336C0003X` (Pharmacy, Community/Retail Pharmacy)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	180 FERRUM MOUNTAIN RD, FERRUM, VA, 24088-2939
Practice Telephone / Fax	Tel: (540) 365-9992 \| Fax: (540) 365-2718
Administrative Mailing Address	PO BOX 9, LAUREL FORK, VA, 24352-0009
Enumeration & Last Sync	Enumerated: 2006-12-28 \| CMS Record Updated: 2024-07-25
Authorized Official	JAMES WERTH (Executive Director)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

180 FERRUM MOUNTAIN RD, FERRUM, VA, 24088-2939

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Plain-English Taxonomy & CMS Crosswalk (3336C0003X)

What Does Taxonomy Code 3336C0003X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3336C0003X translates to:
"Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 58 (Medical Supply Company with Pharmacist) • CMS Code A5 (Pharmacy)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pharmacy, Community/Retail Pharmacy for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (TRI AREA COMMUNITY HEALTH)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`3336C0003X` — Pharmacy, Community/Retail Pharmacy Plain English: Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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TRI AREA COMMUNITY HEALTH (NPI #1477619179)