CHARLOTTESVILLE FREE CLINIC (NPI# 1477089639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477089639 |
| Entity Type | Organization |
| Organization Name | CHARLOTTESVILLE FREE CLINIC |
| Practice Address |
1138 Rose Hill Dr Suite 200 Charlottesville VA 22903-5128 |
| Mailing Address |
1138 Rose Hill Drive Suite 200 Charlottesville VA 22903 |
| Practice Telephone | 4342958957 |
| Mailing Telephone | 4342958957 |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2017-05-10 |
| Authorized Official Name | COLLEEN KELLER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4342958957 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 0201003106 | VA | Suppliers |
| Street Address |
1138 ROSE HILL DR SUITE 200 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22903-5128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972586667 | Denise Elaine Bonds | Internal Medicine | 1138 Rose Hill Dr, Charlottesville, VA 22903 | 2005-11-28 |
| 1922643303 | Abiodun Yetunde Akingbemi | Dietitian, Registered | 1138 Rose Hill Dr, Charlottesville, VA 22903-5128 | 2019-11-09 |
| 1487037479 | David Clark | Internal Medicine | 1138 Rose Hill Dr, Charlottesville, VA 22903-5128 | 2015-07-08 |
| 1205268257 | Robert William Amos | Dentist | 1138 Rose Hill Dr, Dental Suite, Charlottesville, VA 22903-5128 | 2013-08-01 |
| 1942323472 | Nancy Louise Harris | Nurse Practitioner | 1138 Rose Hill Dr, Charlottesville, VA 22903-5128 | 2007-04-09 |
| 1912022922 | Nelson County Dental Clinic | Dentist | 1138 Rose Hill Dr, Charlottesville, VA 22903-5128 | 2007-03-20 |
| 1497870406 | Charlottesville-albemarle Dental Clinic | Dentist | 1138 Rose Hill Dr, Charlottesville, VA 22903-5128 | 2007-03-20 |
| 1740290394 | Conrad B Jenkins | Dentist | 1138 Rose Hill Dr, Charlottesville, VA 22903-5128 | 2006-08-08 |
| 1972511756 | Leslie H Steeves | Nurse Practitioner | 1138 Rose Hill Dr, Charlottesville, VA 22903-5128 | 2006-08-04 |
| 1710993530 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 1138 Rose Hill Dr, Charlottesville, VA 22903-5128 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
| 1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
| Find all providers in zip 22903 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861941718 | Wegmans Food Markets, Inc. | Pharmacy | 100 Wegmans Way, Charlottesville, VA 22902-6507 | 2016-10-03 |
| 1669579405 | Meadowbrook Health Service Inc | Pharmacy | 2037 Barracks Rd, Charlottesville, VA 22903-1206 | 2006-09-20 |
| 1538184254 | Kroger Limited Partnership I | Pharmacy | 1904 Emmet St N, Charlottesville, VA 22901-2815 | 2006-07-13 |
| 1316473127 | Riverside Pharmacy Services Charlottesville | Pharmacy | 1335 Carlton Ave, Attn Pharmacy, Charlottesville, VA 22902-5813 | 2017-05-11 |
| 1831431642 | Kroger Limited Partnership I | Pharmacy | 1159 Emmet St N, Charlottesville, VA 22903-4837 | 2013-03-19 |
| 1659426914 | The Rector and Visitors of The University of Virginia | Pharmacy | 400 Brandon Ave, Charlottesville, VA 22908-0760 | 2007-01-24 |
| 1366594319 | Rector & Visitors of The University of Virginia | Pharmacy | 1215 Lee St, Charlottesville, VA 22908-0816 | 2007-01-18 |
| 1932130051 | K Mart Corp | Pharmacy | 1801 Hydraulic Rd, Charlottesville, VA 22901-2839 | 2006-07-06 |
| 1588633317 | Rector & Visitors of The University of Virginia | Pharmacy | 1215 Lee St, Charlottesville, VA 22908-0816 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998920 | Schiffert Health Center | Pharmacy | 895 Washington Street Sw Virginia Tech Mccomas Hall, Blacksburg, VA 24061-0140 | 2020-07-02 |
| 1912521675 | Duke Pharmacy LLC | Pharmacy | 5130 Duke St Ste 7b, Alexandria, VA 22304-2955 | 2020-05-28 |
| 1942847900 | Medspack Ltc Inc | Pharmacy | 14121 Parke Long Ct Ste 112, Chantilly, VA 20151-1647 | 2019-12-09 |
| 1275175804 | Duyen K Nguyen | Pharmacy | 4497 Morning Wind Ct, Annandale, VA 22003-5902 | 2019-10-15 |
| 1447892450 | Seaside Pharmacy LLC | Pharmacy | 1630 Donna Dr Ste 103, Virginia Beach, VA 23451-6188 | 2019-10-10 |
| 1083255426 | E's-y Rider Cab & Transport Co LLC | Pharmacy | 562 W 29th St, Buena Vista, VA 24416-1506 | 2019-10-07 |
| 1346891918 | Martin's Pharmacy of Rural Retreat Inc | Pharmacy | 100 W Buck Ave, Rural Retreat, VA 24368-2515 | 2019-09-25 |
| 1417418005 | Village Economy Drug Inc | Pharmacy | 443 Duff Patt Hwy Ste 104, Duffield, VA 24244-5191 | 2019-03-27 |
| 1538642434 | Avs Pharmacy LLC | Pharmacy | 161 Fort Evans Rd Ne Ste 115, Leesburg, VA 20176-3370 | 2018-09-07 |
| 1316427347 | Plaza Economy Drug Inc | Pharmacy | 1123 Plaza Dr, Grundy, VA 24614-6780 | 2018-08-20 |
| Find all providers with the same taxonomy | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22903 |
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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.