NAVAL MEDICAL CENTER PORTSMOUTH


Address: 1885 Terrier Ave Ste 100, Virginia Beach, VA 23461-2205
Phone: 7579539881

NAVAL MEDICAL CENTER PORTSMOUTH (NPI# 1396158168) 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) 1396158168
Entity Type Organization
Organization Name NAVAL MEDICAL CENTER PORTSMOUTH
Practice Address 1885 Terrier Ave Ste 100
Virginia Beach
VA 23461-2205
Mailing Address Third Party Collections
620 John Paul Jones Cir
Porthsmouth
VA 23708-2111
Practice Telephone 7579539881
Practice Fax Number 7579539908
Mailing Telephone 7579539881
Mailing Fax Number 7579539908
Enumeration Date 2014-06-09
Last Update Date 2019-04-15
Authorized Official Name WILLIAM M CONDON (UBO MANAGER)
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 2146174 01

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 1885 TERRIER AVE STE 100
City VIRGINIA BEACH
State VA
Zip Code 23461-2205

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013254374 Christopher Lee Crumpler Military Health Care Provider 1885 Terrier Ave Ste 100, Virginia Beach, VA 23461-2205 2013-01-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568841880 Robert Jadgchew Specialist/Technologist 427 Polaris Avenue, Bldg 586, Virginia Beach, VA 23461 2015-05-19
1790925188 Matthew E Gaffigan Emergency Medicine 472 Polaris Blvd, Bldg 586, Virginia Beach, VA 23461 2009-02-25
1740389865 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy 1185 Terrier Ave, Ste 100, Virginia Beach, VA 23461 2006-09-22
1528209160 William Joseph Harris Jr. Military Health Care Provider 1636 Regulus Ave, Nswdg (n00m), Virginia Beach, VA 23461 2009-03-11
1386844389 Sean Patrick Miles Military Health Care Provider 1636 Regulus Ave, Virginia Beach, VA 23461 2007-07-19
1629090444 Michele B Olive Social Worker 472 Polaris St, Bldg 586, Virginia Beach, VA 23461-1912 2006-07-24
1386019131 Joseph Biron Psychologist 472 Polaris St, Bldg 586, Virginia Beach, VA 23461-1912 2015-12-04
1407097215 Steven Brian Bennett Physician Assistant 472 Polaris St Bldg 586, Virginia Beach, VA 23461-1935 2009-03-09
1801370382 Mathieu Cote Military Health Care Provider 472 Polaris St Bldg 586, Virginia Beach, VA 23461-1935 2018-09-20
1366966962 Owen Wilhelm Horton Military Health Care Provider 472 Polaris St Bldg 586, Virginia Beach, VA 23461-1935 2017-07-26
Find all providers in zip 23461

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
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
1225135072 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy 1550 Tomcat Blvd, Ste 150, Virginia Beach, VA 23460-2188 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
Find all providers with the same taxonomy

Competitor

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City VIRGINIA BEACH
Zip Code 23461

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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