NAVAL MEDICAL CENTER PORTSMOUTH


Address: 1550 Tomcat Blvd, Ste 150, Virginia Beach, VA 23460-2188
Phone: 7573147153

NAVAL MEDICAL CENTER PORTSMOUTH (NPI# 1225135072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225135072
Entity Type Organization
Organization Name NAVAL MEDICAL CENTER PORTSMOUTH
Other Organization Name PORTS VA BHC OCEANA
Practice Address 1550 Tomcat Blvd
Ste 150
Virginia Beach
VA 23460-2188
Mailing Address Attn Mrs, Goodrich 3rd Party Collection
620 John Paul Jones Cir
Portsmouth
VA 23708
Practice Telephone 7573147153
Practice Fax Number 7573147111
Mailing Telephone 2102218274
Mailing Fax Number 2102218131
Enumeration Date 2006-09-20
Last Update Date 2017-11-14
Authorized Official Name WILLIAM M CONDON (BUMED UBO)
Authorized Official Telephone 2404013643
Is Organization Subpart Y
Parent Organization Name NAVAL MEDICAL CENTER PORTSMOUTH

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332000000X Military/U.S. Coast Guard Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2104685 01

Other Provider/Organization Names

Other Name Type Code
PORTS VA BHC OCEANA Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1114403961 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy 7021 Harbor View Blvd, Suffolk, VA 23435-2869 2018-07-16
1508270950 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy 1011 Eden Way N Ste H, Chesapeake, VA 23320-2768 2014-06-13
1205249059 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy 1647 Admiral Taussig Blvd Bldg Cd2, Norfolk, VA 23511-2803 2014-06-10
1669746822 Naval Medical Center Portsmouth Military Hospital 620 John Paul Circle, Portsmouth, VA 23708 2012-03-05
1083782874 Naval Medical Center Portsmouth Military Hospital 411 Granby St Apt 48, Norfolk, VA 23510-1935 2006-12-01
1609966936 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy Naval Weapons Station Yorktown, Bldg 1806, Yorktown, VA 23691-0090 2006-10-16
1740389865 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy 1185 Terrier Ave, Ste 100, Virginia Beach, VA 23461 2006-09-22
1861599615 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy 1317 Ballahack Rd Ste 100, Chesapeake, VA 23322-2499 2006-09-20
1891769840 Naval Medical Center Portsmouth Military Hospital Naval Medical Center Posrtsmouth, 620 John Paul Jones Cir, Portsmouth, VA 23708-2197 2006-02-15
1366929069 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy 27 Effingham St, Portsmouth, VA 23708 2018-07-25

Office Location

Street Address 1550 TOMCAT BLVD
STE 150
City VIRGINIA BEACH
State VA
Zip Code 23460-2188

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649255969 Amarjeet Singh Purewal Psychologist 1550 Tomcat Blvd, Virginia Beach, VA 23460 2005-12-09
1184075608 Matthew Laurence Decker Optometrist 1550 Tomcat Blvd, Optometry Clinic, Virginia Beach, VA 23460-2218 2016-06-27
1083052955 Christopher Jay Richmond General Practice 1550 Tomcat Blvd, Virginia Beach, VA 23460-2218 2013-06-12
1588906556 Lonnie E Meyers II Physician Assistant 1550 Tomcat Blvd, Suite 150, Virginia Beach, VA 23460-2188 2013-03-18
1720329691 Adam Picker Physician Assistant 1550 Tomcat Blvd, Suite 150, Virginia Beach, VA 23460-2188 2013-03-02
1437458767 Duane Shaw Rowe Jr. Physician Assistant 1550 Tomcat Blvd, Suite 150, Virginia Beach, VA 23460-2188 2011-03-25
1477797967 Laura Israelian Petras Family Medicine 1550 Tomcat Blvd, Suite 150, Virginia Beach, VA 23460-2218 2009-04-28
1790946911 Robert John Krause General Practice 1550 Tomcat Blvd, Virginia Beach, VA 23460-2218 2008-06-20
1568621787 U S Navy Clinic/Center 1550 Tomcat Blvd, Suite 150, Virginia Beach, VA 23460-2218 2008-06-03
1386814697 Travis James Harmon Military Health Care Provider 1550 Tomcat Blvd, Virginia Beach, VA 23460-2218 2008-03-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619400249 Michael Alexander Sumner General Practice Nas Oceana Branch Medical Clinic, 1640 Tomcat Blvd, Virginia Beach, VA 23460 2017-04-10
1205285830 Kyle Mcdonald Family Medicine 1550 Tomcat Blvd Ste 150, Virginia Beach, VA 23460 2016-06-04
1679980767 Lauren Collins Ervin Brown Dentist 1750 Tomcat Blvd Bldg 285, Virginia Beach, VA 23460-2168 2014-07-21
1588935829 Heather Sterling Slusser General Practice 1750 Tomcat Blvd, Branch Medical Clinic Oceana, Virginia Beach, VA 23460-2168 2012-01-18
1184259921 Mellie Rose Vann Pharmacist 1750 Tomcat Blvd, Virginia Beach, VA 23460-2168 2020-03-11
1497245765 John Vietquang Dang Student in an Organized Health Care Education/Training Program 1750 Tomcat Blvd, Virginia Beach, VA 23460-2168 2018-05-13
1366940314 Kyle Alan Bement Student in an Organized Health Care Education/Training Program 1750 Tomcat Blvd, Virginia Beach, VA 23460-2168 2018-01-24
1629418017 Matthew Joseph Carr General Practice 1750 Tomcat Blvd, Virginia Beach, VA 23460-2168 2013-06-28
1134772023 Luxottica of America Inc. Eyewear Supplier (Equipment, not the service) 1449 Tomcat Blvd Bldg 292, Virginia Beach, VA 23460-2177 2019-07-19
1003194028 Katy Bice Optometrist 1449 Tomcat Blvd, Virginia Beach, VA 23460-2177 2011-07-25
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Taxonomy Information

Taxonomy Code 332000000X
Grouping Suppliers
Classification Military/U.S. Coast Guard Pharmacy

Taxonomy Definition

A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services.
Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740389865 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy 1185 Terrier Ave, Ste 100, Virginia Beach, VA 23461 2006-09-22
1578977666 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy 1550 Tomcat Blvd Ste 150, Naval Air Station Oceana, Virginia Beach, VA 23460-2186 2014-06-17
1851704431 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy 2100 Lynnhaven Pkwy Ste 201, Virginia Beach, VA 23456-1492 2014-06-11
1396158168 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy 1885 Terrier Ave Ste 100, Virginia Beach, VA 23461-2205 2014-06-09
1205249075 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy 1035 Nider Blvd Ste 100, Branch Health Clinic, Virginia Beach, VA 23459-8701 2014-06-09
1952408700 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy 1035 Nider Blvd, Ste 100, Virginia Beach, VA 23459-8701 2006-09-20
1770680522 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy 2100 Lynnhaven Pkwy, Ste 201, Virginia Beach, VA 23456-1492 2006-09-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174172183 Naval Health Clinic Annapolis Military/U.S. Coast Guard Pharmacy 17457 Caffee Rd Bldg 192, Dahlgren, VA 22448-5120 2019-09-11
1114403961 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy 7021 Harbor View Blvd, Suffolk, VA 23435-2869 2018-07-16
1437563269 Fort Belvoir Community Hospital Military/U.S. Coast Guard Pharmacy 8651 John J Kingman Rd, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060-6200 2014-06-19
1508270950 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy 1011 Eden Way N Ste H, Chesapeake, VA 23320-2768 2014-06-13
1205249059 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy 1647 Admiral Taussig Blvd Bldg Cd2, Norfolk, VA 23511-2803 2014-06-10
1467680819 World Class Marketing Inc Military/U.S. Coast Guard Pharmacy 1814 Kecoughtan Rd, Suite B, Hampton, VA 23661-2834 2009-06-24
1609966936 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy Naval Weapons Station Yorktown, Bldg 1806, Yorktown, VA 23691-0090 2006-10-16
1982703013 Kenner Army Health Clinic Military/U.S. Coast Guard Pharmacy Bldg 3219, Ft Lee, VA 23801 2006-09-22
1922107044 Kenner Army Health Clinic Military/U.S. Coast Guard Pharmacy Bldg P8130, Ft Lee, VA 23801 2006-09-22
1659470771 1st Medical Group Sgsl Military/U.S. Coast Guard Pharmacy 65 Spaatz Dr, Langley Afb, VA 23665-2027 2006-09-22
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Competitor

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City VIRGINIA BEACH
Zip Code 23460

Improve Information

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Dataset Information

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.

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