OLIVET MEDICAL MINISTRY, INC (NPI# 1427582352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427582352 |
| Entity Type | Organization |
| Organization Name | OLIVET MEDICAL MINISTRY, INC |
| Other Organization Name | LACKEY CLINIC |
| Practice Address |
1620 Old Williamsburg Rd Yorktown VA 23690-3910 |
| Practice Telephone | 7578860608 |
| Practice Fax Number | 7579685022 |
| Mailing Telephone | 7578860608 |
| Mailing Fax Number | 7579685022 |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |
| Authorized Official Name | CAROL SALE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7578860608 |
| Authorized Official Credential | RN, MSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
0201003931 | VA | Suppliers |
| Other Name | Type Code |
|---|---|
| LACKEY CLINIC | Doing Business As Name - Organization |
| Street Address |
1620 OLD WILLIAMSBURG RD |
| City | YORKTOWN |
| State | VA |
| Zip Code | 23690-3910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083682272 | Jill S Cottel | Internal Medicine | 1620 Old Williamsburg Rd, Yorktown, VA 23690-3910 | 2006-03-14 |
| 1326603952 | Riverside Physicain Services Inc | Family Medicine | 1620 Old Williamsburg Rd, Yorktown, VA 23690-3910 | 2019-05-09 |
| 1720376676 | Jean Nmn Keating | Clinical Nurse Specialist | 1620 Old Williamsburg Rd, Yorktown, VA 23690-3910 | 2011-07-13 |
| 1437447315 | Yolanda Angus | Nurse Practitioner | 1620 Old Williamsburg Rd, Yorktown, VA 23690-9686 | 2011-07-13 |
| 1699082446 | Olivet Medical Ministry | Clinic/Center | 1620 Old Williamsburg Rd, Yorktown, VA 23690-3910 | 2010-08-31 |
| 1669602314 | Margaret H Johnson | Nurse Practitioner | 1620 Old Williamsburg Rd, Yorktown, VA 23690-3910 | 2009-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710063557 | Kevin Francis O'connor Jr. | Physician Assistant | 1 Us Coast Guard Training Center, Tracen Yorktown Clinic, Yorktown, VA 23690 | 2006-10-27 |
| 1659470797 | Us Coast Guard Finance Center | Military/U.S. Coast Guard Pharmacy | 1 Uscg Training Ctr, Yorktown, VA 23690 | 2006-09-22 |
| 1013937929 | K. E. Neill, Jr. Dds Ltd | Dentist | 219 Cook Road, Yorktown, VA 23690 | 2006-07-21 |
| 1285606640 | Elizabeth Trent Hill | Pharmacist | Naval Weapons Station-bhc, Yorktown Rd, Yorktown, VA 23690 | 2006-02-01 |
| 1508040825 | Kennedy Edward Neill Jr. | Dentist | 219 Cook Road, Yorktown, VA 23690 | 2007-12-21 |
| 1871777185 | Kennedy Edward Neill IIi | Dentist | 219 Cook Road, Yorktown, VA 23690 | 2007-12-21 |
| 1114998887 | Lawrence Steven Marchelya | Dentist | Naval Weapons Station, Branch Medical Clinic, Bldg 1806, Yorktown, VA 23690-0090 | 2006-01-30 |
| 1235502907 | Gwendolyn Marie Walthes | Counselor | 123 Brightwood Ter, Yorktown, VA 23690-3518 | 2015-11-03 |
| 1356426894 | United States Coast Guard | Clinic/Center | End of Route 238, Yorktown, VA 23690-5000 | 2006-10-25 |
| 1598729402 | Usphs - Us Coast Guard | Clinic/Center | Yorktown Training Center, Us Coast Guard, Yorktown Boardwalk, Yorktown, VA 23690-5000 | 2006-04-17 |
| Find all providers in zip 23690 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1083132450 | Kuumba Community Health & Wellness Center, Inc. | Pharmacy | 3716 Melrose Ave Nw Suite 130, Roanoke, VA 24017 | 2017-09-06 |
| 1518286863 | American Maritime Holdings Inc | Pharmacy | 816 Industrial Ave, Suite 100, Chesapeake, VA 23324-2615 | 2010-05-26 |
| 1174745616 | Virginia Commonweatlh University Student Health Pharmacy | Pharmacy | 1300 W. Broad Street, Suite 2200, Richmond, VA 23284 | 2007-05-03 |
| 1629160767 | Chesterfield County Department of Health | Pharmacy | 9501 Lucy Corr Cr, Chesterfield, VA 23832-0002 | 2006-09-28 |
| 1073548160 | Director of Finance-county of Fairfax Va | Pharmacy | 3750 Old Lee Highway, Fairfax, VA 22030-6903 | 2006-07-11 |
| 1124641410 | Comprehensive Hand Surgery Center | Pharmacy | 2819 N Parham Rd Ste 100, Richmond, VA 23294-4425 | 2020-05-21 |
| 1467975565 | Tds Health | Pharmacy | 4215 Dale Blvd, Woodbridge, VA 22193-2243 | 2017-07-20 |
| 1275069122 | Harrisonburg Rockingham Free Clinic | Pharmacy | 25 W Water St, Harrisonburg, VA 22801-3624 | 2017-05-11 |
| 1376075283 | Augusta Regional Clinic Pharmacy | Pharmacy | 342 Mule Academy Rd, Fishersville, VA 22939-2256 | 2017-03-30 |
| Find all providers with the same taxonomy | ||||
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| 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.