DOMINION MEDICAL SUPPLIES (NPI# 1174754063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174754063 |
| Entity Type | Organization |
| Organization Name | DOMINION MEDICAL SUPPLIES |
| Practice Address |
4110 Granby St Norfolk VA 23508 |
| Mailing Address |
4110 Granby St Norfolk VA 23504-1108 |
| Practice Telephone | 7572015398 |
| Mailing Telephone | 7572015398 |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-07-27 |
| Authorized Official Name | MISS TEREZ L PATTERSON (OWNER/MANAGER) |
| Authorized Official Telephone | 7572015398 |
| Authorized Official Credential | B.A |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 904518 | VA | Suppliers |
| Street Address |
4110 GRANBY ST |
| City | NORFOLK |
| State | VA |
| Zip Code | 23508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902429152 | Madison Mcnicholas | Student in an Organized Health Care Education/Training Program | 5115 Hamptom Blvd, Norfolk, VA 23508 | 2020-05-22 |
| 1689173353 | Paraclete Therapeutic Solutions LLC | Community/Behavioral Health | 5215 Colley Ave Ste 107, Norfolk, VA 23508 | 2018-02-07 |
| 1104369305 | Melissa Joy Day | Physical Therapist | 1015 W 47th St., Norfolk, VA 23508 | 2016-11-21 |
| 1629323787 | Tara Dodson Olsson | Physical Therapist | 1015 West 47th Street, Norfolk, VA 23508 | 2012-07-16 |
| 1760776181 | Amelia Cady Dumond Dail | Behavioral Analyst | 810 52nd St, Norfolk, VA 23508 | 2011-06-02 |
| 1568789824 | Alternative Therapeutic Home Care Inc | Health Maintenance Organization | 427 W 37th Street, Norfolk, VA 23508 | 2010-04-27 |
| 1730402421 | Benjamin Simon Mccarty | Dentist | 1170 Lexan Ave Ste 187, Norfolk, VA 23508 | 2010-03-09 |
| 1992767297 | Catherine Jean Mcdonald | Nurse Practitioner | 1618 Pocahontas Drive, Medical Readiness Division, Comnavsurflant, Norfolk, VA 23508 | 2006-04-04 |
| 1265047351 | Taylor Clark | Physical Therapist | 1015 W 47th Street, Norfolk, VA 23508 | 2020-09-15 |
| 1104439371 | Lauren Rice | Occupational Therapist | 1015 W 47th St, Norfolk, VA 23508 | 2020-08-27 |
| Find all providers in zip 23508 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285164210 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 201 W 21st St Ste 6, Norfolk, VA 23517-2365 | 2017-06-13 |
| 1740718139 | Tactical Rehabilitation Inc | Durable Medical Equipment & Medical Supplies | 7724 Hampton Blvd, Norfolk, VA 23505-1738 | 2017-05-30 |
| 1740680719 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3717 Hampton Blvd, Norfolk, VA 23508-2425 | 2014-08-27 |
| 1285042127 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3350 E Princess Anne Rd, Norfolk, VA 23502-1564 | 2014-07-23 |
| 1912333097 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1301 West Norfolk Ave, Norfolk, NE 68701 | 2013-09-19 |
| 1841536125 | Golden Touch Enterprise | Durable Medical Equipment & Medical Supplies | 5680 Lowey Rd, Unit 410b, Norfolk, VA 23502 | 2012-12-14 |
| 1679830467 | City Wide Enterprises | Durable Medical Equipment & Medical Supplies | 320 W 25th St, Norfolk, VA 23517-1310 | 2012-04-18 |
| 1356617971 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 471 N Military Hwy, Norfolk, VA 23502-5401 | 2012-03-28 |
| 1376814566 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 6678 E Virginia Beach Blvd, Norfolk, VA 23502-3034 | 2012-01-19 |
| 1285914671 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3200 Lafayette Blvd, Norfolk, VA 23509-2548 | 2011-08-17 |
| Find all providers in NORFOLK | ||||
Please comment or provide details below to improve the information on DOMINION MEDICAL SUPPLIES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.