FORT NORFOLK PLAZA MEDICAL ASSOCIATES, LLC (NPI# 1548589617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548589617 |
| Entity Type | Organization |
| Organization Name | FORT NORFOLK PLAZA MEDICAL ASSOCIATES, LLC |
| Other Organization Name | FORT NORFOLK PLAZA MEDICAL PHARMACY |
| Practice Address |
301 Riverview Ave Suite 530 Norfolk VA 23510-1065 |
| Practice Telephone | 7573330920 |
| Practice Fax Number | 7579620644 |
| Mailing Telephone | 7573330920 |
| Mailing Fax Number | 7579620644 |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2011-01-04 |
| Authorized Official Name | KEITH H NEWBY SR. (PRESIDENT) |
| Authorized Official Telephone | 7576241785 |
| Authorized Official Credential | M.D., F.A.C.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GROUP PTAN | 1548589617 | 01 |
| Other Name | Type Code |
|---|---|
| Fort Norfolk Plaza Medical Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366092231 | Fort Norfolk Plaza Medical Associates, LLC | Clinic/Center | 701 S Main St Ste A, Norfolk, VA 23523-1245 | 2019-09-12 |
| 1396056982 | Fort Norfolk Plaza Medical Associates, LLC | Internal Medicine | 301 Riverview Ave Ste 500, Norfolk, VA 23510-1066 | 2010-06-29 |
| 1154642783 | Fort Norfolk Plaza Medical Associates, LLC | Family Medicine | 301 Riverview Avenue, Suite 502, Norfolk, VA 23510-1064 | 2010-06-17 |
| 1316274145 | Fort Norfolk Plaza Medical Associates, LLC | Internal Medicine | 301 Riverview Avenue, Suite 525, Norfolk, VA 23510-1064 | 2009-11-16 |
| 1699001081 | Fort Norfolk Plaza Medical Associates, LLC | Family Medicine | 301 Riverview Avenue, Suite 500, Norfolk, VA 23510-1064 | 2009-10-20 |
| 1194899534 | Fort Norfolk Plaza Medical Associates, LLC | Family Medicine | 930 Majestic Ave, Suite 220, Norfolk, VA 23504-4055 | 2006-11-18 |
| 1942388202 | Fort Norfolk Plaza Medical Associates, LLC | Specialist | 930 Majestic Ave, Suite 210, Norfolk, VA 23504-4055 | 2006-11-02 |
| Street Address |
301 RIVERVIEW AVE SUITE 530 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23510-1065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477526853 | Roque F Planas-galliano | Internal Medicine | 301 Riverview Ave, Ste 500, Norfolk, VA 23510-1065 | 2006-02-08 |
| 1164968947 | Yvette Hunter | Nurse Practitioner | 301 Riverview Ave, Suite 500, Norfolk, VA 23510-1065 | 2017-01-17 |
| 1760939102 | Audra Elizabeth Dimascio | Nurse Practitioner | 301 Riverview Ave, Suite 700, Norfolk, VA 23510-1065 | 2016-09-01 |
| 1821543257 | Caprice D Carter | Nurse Practitioner | 301 Riverview Ave, Ste 500, Norfolk, VA 23510-1065 | 2016-08-15 |
| 1447602198 | Amber Harriett Stanback | Nurse Practitioner | 301 Riverview Ave, Suite 504, Norfolk, VA 23510-1065 | 2016-07-06 |
| 1871948810 | Amanda Brinkley | Physician Assistant | 301 Riverview Ave, Ste 202, Norfolk, VA 23510-1065 | 2016-04-27 |
| 1942665054 | Sasha A Lee | Nurse Practitioner | 301 Riverview Ave, Ste 500, Norfolk, VA 23510-1065 | 2015-12-17 |
| 1609267053 | Sentara Medical Group | Internal Medicine | 301 Riverview Ave, Ste 710, Norfolk, VA 23510-1065 | 2015-02-06 |
| 1043616741 | Juanita Marie Norwood | Nurse Practitioner | 301 Riverview Ave, Ste 500, Norfolk, VA 23510-1065 | 2014-11-07 |
| 1740699735 | Evms Academic Physicians and Surgeons Health Services Foundation | Internal Medicine | 301 Riverview Ave, Suite 670, Norfolk, VA 23510-1065 | 2014-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151108 | Brittany Delong | Speech-Language Pathologist | 534 E Olney Road, Norfolk, VA 23510 | 2019-08-30 |
| 1881164366 | Gregory D Newman | Hearing Instrument Specialist | 501 B Bousch St, Norfolk, VA 23510 | 2018-11-28 |
| 1598282998 | Tidewater Hyperbaric | Preventive Medicine | 129 West Virginia Beach Blvd, Suite 140 A, Norfolk, VA 23510 | 2017-08-25 |
| 1295276186 | John Michael Curnes | General Practice | 200 College Pl Apt 215, Norfolk, VA 23510 | 2017-03-13 |
| 1326499989 | East Coast Family Services | Community/Behavioral Health | 259 Granby St., Norfolk, VA 23510 | 2016-06-24 |
| 1659750529 | Cortney Armitano | Specialist/Technologist | 201 West Tazewell Street, Apt. 206, Norfolk, VA 23510 | 2015-05-26 |
| 1285076067 | Abundant Life Therapeutic Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 645 Church St., Suite 104c, Norfolk, VA 23510 | 2013-07-22 |
| 1497196901 | Patricia Ann Richardson | Assisted Living Facility | 101 East Plume Street, 501, Norfolk, VA 23510 | 2013-07-12 |
| 1427319300 | The Foleck Center | Dentist | 201 College Place, #111, Norfolk, VA 23510 | 2012-06-06 |
| 1033414941 | Laura Jeanne O'neal | Social Worker | 250 W Brambleton Ave, Ste 101, Norfolk, VA 23510 | 2011-01-24 |
| Find all providers in zip 23510 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215578901 | Jtj Medical Supply, Inc. | Pharmacy | 1001 Monticello Ave, Norfolk, VA 23510-2564 | 2019-10-03 |
| 1861813370 | Harris Teeter, LLC | Pharmacy | 7550 Granby Street, Norfolk, VA 23505 | 2013-12-31 |
| 1487959342 | Harris Teeter, LLC | Pharmacy | 1320 Colonial Avenue, Norfolk, VA 23517 | 2011-01-24 |
| 1821233040 | Wal-mart Stores East Lp | Pharmacy | 1720 E Little Creek Rd, Norfolk, VA 23518-4202 | 2008-12-03 |
| 1073623609 | Costco Wholesale Corporation | Pharmacy | 850 Glenrock Rd, Norfolk, VA 23502 | 2006-08-30 |
| 1639184682 | Walgreen Co | Pharmacy | 810 W 21st St, Norfolk, VA 23517-1514 | 2006-07-29 |
| 1093720047 | Walgreen Co | Pharmacy | 8609 Tidewater Dr, Norfolk, VA 23503-5415 | 2006-07-29 |
| 1720093776 | Walgreen Co | Pharmacy | 1169 N Military Hwy, Norfolk, VA 23502-2434 | 2006-07-29 |
| 1912912965 | Walgreen Co | Pharmacy | 115 W Little Creek Rd, Norfolk, VA 23505-2512 | 2006-07-29 |
| 1568477511 | Walgreen Co | Pharmacy | 2232 E Little Creek Rd, Norfolk, VA 23518-4221 | 2006-07-29 |
| Find all providers in NORFOLK | ||||
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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.