NAVAL MEDICAL CENTER PORTSMOUTH (NPI# 1609966936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609966936 |
| Entity Type | Organization |
| Organization Name | NAVAL MEDICAL CENTER PORTSMOUTH |
| Practice Address |
Naval Weapons Station Yorktown Bldg 1806 Yorktown VA 23691-0090 |
| Mailing Address |
620 Jhn Paul Jns Cir Attn Mrs. Goodrich 3rd Party Collection Portsmouth VA 23708-2111 |
| Practice Telephone | 7579538402 |
| Practice Fax Number | 7579538446 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2019-04-01 |
| Authorized Official Name | WILLIAM M CONDON (BUMED UBO) |
| 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 | 2104773 | 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 |
| 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 |
| 1548664949 | Naval Medical Center Portsmouth | Military/U.S. Coast Guard Pharmacy | 1317 Ballahack Rd Ste 100, Chesapeake, VA 23322-2499 | 2014-10-14 |
| Street Address |
NAVAL WEAPONS STATION YORKTOWN BLDG 1806 |
| City | YORKTOWN |
| State | VA |
| Zip Code | 23691-0090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043286784 | Edwin Gonzalez | General Practice | Spring Rd Bldg 1806, Branch Health Clinic, Naval Weapons Station, Yorktown, VA 23691 | 2006-02-23 |
| 1275529570 | Suzanne Marie Wall | Nurse Practitioner | Bldg 1806 Branch Medical Clinic, Naval Weapons Station, Yorktown, VA 23691 | 2005-09-22 |
| 1952717472 | Naval Medical Center Portsmouth | Military/U.S. Coast Guard Pharmacy | Branch Medical Clinic, Bldg 1806, Yorktown, VA 23691 | 2014-07-03 |
| 1992736359 | Keith Alan Becker | Military Health Care Provider | Branch Medical Clinic, Naval Weapons Station, Yorktown, VA 23691-0091 | 2006-07-05 |
| 1548562259 | Aaron Brent Vandall | Military Health Care Provider | Rivron 3, Nws Yorktown, Bldg 686, Yorktown, VA 23691-1032 | 2010-12-01 |
| 1275887366 | Ruth Esther Smith | Family Medicine | 160 Main Rd, Yorktown, VA 23691-5111 | 2012-10-29 |
| 1356554141 | Darren S Beasley | Emergency Medicine | 160 Main Rd Bldg 1971, Yorktown, VA 23691-5111 | 2007-05-08 |
| 1104996677 | Rayma Nicole Coslett | Physician Assistant | 160 Main Rd Ste 1806, Yorktown, VA 23691-5111 | 2006-11-09 |
| 1518166362 | Karen C Lewis | Social Worker | 160 Main Rd Ste 1806, Yorktown, VA 23691-5111 | 2007-07-12 |
| 1982885182 | Thomas Martin Smalls II | Military Health Care Provider | 1808 Shupper Dr, Yorktown, VA 23691-5112 | 2007-11-16 |
| Find all providers in zip 23691 | ||||
| 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 |
|---|---|---|---|---|
| 1659470797 | Us Coast Guard Finance Center | Military/U.S. Coast Guard Pharmacy | 1 Uscg Training Ctr, Yorktown, VA 23690 | 2006-09-22 |
| 1952717472 | Naval Medical Center Portsmouth | Military/U.S. Coast Guard Pharmacy | Branch Medical Clinic, Bldg 1806, Yorktown, VA 23691 | 2014-07-03 |
| 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 |
| 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 | ||||
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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.