NAVAL MEDICAL CENTER PORTSMOUTH (NPI# 1548664949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548664949 |
Entity Type | Organization |
Organization Name | NAVAL MEDICAL CENTER PORTSMOUTH |
Practice Address |
1317 Ballahack Rd Ste 100 Chesapeake VA 23322-2499 |
Mailing Address |
620 John Paul Jones Cir Co Mrs Goodrich 3rd Party Collection Portsmouth VA 23708-2111 |
Practice Telephone | 7579536253 |
Practice Fax Number | 7579536440 |
Mailing Telephone | 7579536253 |
Enumeration Date | 2014-10-14 |
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2148283 | 01 |
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 |
Street Address |
1317 BALLAHACK RD STE 100 |
City | CHESAPEAKE |
State | VA |
Zip Code | 23322-2499 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861599615 | Naval Medical Center Portsmouth | Military/U.S. Coast Guard Pharmacy | 1317 Ballahack Rd Ste 100, Chesapeake, VA 23322-2499 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154986347 | Center for Visual Surgical Excellence, LLC | Clinic/Center | 208 Carmichael Way, Chesapeake, VA 23322 | 2019-05-03 |
1235648213 | Sarah Nagy | Specialist/Technologist | 205 Rountree Drive, Chesapeake, VA 23322 | 2017-09-22 |
1629590286 | Jack Beverly Harris Jr. | Contractor | 156 Greengable Way, Chesapeake, VA 23322 | 2017-07-14 |
1528597911 | Sara Osborne | Speech-Language Pathologist | 404 Mike Trail, Chesapeake, VA 23322 | 2017-06-08 |
1194100198 | Kerry Maldiner | Marriage & Family Therapist | 501 Cedar Rd Ste 2c, Chesapeake, VA 23322 | 2015-07-21 |
1619361532 | Kathryn Restaino | Student in an Organized Health Care Education/Training Program | 705 Forest Mills Rd, Chesapeake, VA 23322 | 2015-03-28 |
1083037212 | Kenneth E. Grindlay | Dentist | 228 Mount Pleasant Rd., Chesapeake, VA 23322 | 2014-01-23 |
1841538006 | Karen Mcquarrie | Behavioral Analyst | 1200 Jamaica Avenue, Chesapeake, VA 23322 | 2013-01-23 |
1255615886 | Vera Roberts Jackson | Pharmacist | 321 Battlefield Blvd. South, Chesapeake, VA 23322 | 2011-09-30 |
1669754628 | Jacqueline Dungan | Pharmacist | 201 Hanbury Road E, Chesapeake, VA 23322 | 2011-09-15 |
Find all providers in zip 23322 |
Taxonomy Code | 332000000X |
Grouping | Suppliers |
Classification | Military/U.S. Coast Guard Pharmacy |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508270950 | Naval Medical Center Portsmouth | Military/U.S. Coast Guard Pharmacy | 1011 Eden Way N Ste H, Chesapeake, VA 23320-2768 | 2014-06-13 |
1861599615 | Naval Medical Center Portsmouth | Military/U.S. Coast Guard Pharmacy | 1317 Ballahack Rd Ste 100, Chesapeake, VA 23322-2499 | 2006-09-20 |
1043317894 | Naval Medical Center Portsmouth | Military/U.S. Coast Guard Pharmacy | 1400 Crossways Blvd Ste 114, Chesapeake, VA 23320 | 2006-09-20 |
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 |
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 |
1740389865 | Naval Medical Center Portsmouth | Military/U.S. Coast Guard Pharmacy | 1185 Terrier Ave, Ste 100, Virginia Beach, VA 23461 | 2006-09-22 |
Find all providers with the same taxonomy |
City | CHESAPEAKE |
Zip Code | 23322 |
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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.