NAVAL MEDICAL CENTER PORTSMOUTH


Address: 2100 Lynnhaven Pkwy, Ste 201, Virginia Beach, VA 23456-1492
Phone: 7573148914

NAVAL MEDICAL CENTER PORTSMOUTH (NPI# 1770680522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770680522
Entity Type Organization
Organization Name NAVAL MEDICAL CENTER PORTSMOUTH
Practice Address 2100 Lynnhaven Pkwy
Ste 201
Virginia Beach
VA 23456-1492
Mailing Address 620 John Paul Jones Cir
Attn Mrs. Goodrich 3rd Party Collection
Portsmouth
VA 23708-2111
Practice Telephone 7573148914
Practice Fax Number 7573148919
Enumeration Date 2006-09-20
Last Update Date 2017-11-14
Authorized Official Name WILLIAM M CONDON (BUMED UBO)
Authorized Official Telephone 2404013643
Is Organization Subpart Y
Parent Organization Name NAVAL MEDICAL CENTER PORTSMOUTH

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332000000X Military/U.S. Coast Guard Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2104771 01

Other Provider IDs and Locations

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

Office Location

Street Address 2100 LYNNHAVEN PKWY
STE 201
City VIRGINIA BEACH
State VA
Zip Code 23456-1492

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487651980 Annelore Fontane Butler Pediatrics 2100 Lynnhaven Pkwy, Siute 201, Virginia Beach, VA 23456-1492 2005-06-30
1063895415 Megan Mazzarella Dentist 2100 Lynnhaven Pkwy, Virginia Beach, VA 23456-1492 2015-07-02
1285032995 Konikoff Dental Dentist 2100 Lynnhaven Pkwy, Suite #100, Virginia Beach, VA 23456-1492 2014-12-11
1811300460 Amy Namsupak Dentist 2100 Lynnhaven Pkwy, Suite 200, Virginia Beach, VA 23456-1492 2014-06-10
1679914394 Konikoff Dental Specialists, Inc. Dentist 2100 Lynnhaven Pkwy, Suite 200, Virginia Beach, VA 23456-1492 2013-07-10
1801159330 Daniel M Jones Dentist 2100 Lynnhaven Pkwy, Suite 100, Virginia Beach, VA 23456-1492 2012-06-19
1215299896 Michael J Newman Dentist 2100 Lynnhaven Pkwy, Suite 100, Virginia Beach, VA 23456-1492 2012-06-11
1801182191 Catherine A Muldoon Dentist 2100 Lynnhaven Pkwy, Suite #100, Virginia Beach, VA 23456-1492 2011-06-24
1477842243 David J Herce Dentist 2100 Lynnhaven Pkwy, #200, Virginia Beach, VA 23456-1492 2011-04-01
1225345036 Meredith Hoek Dentist 2100 Lynnhaven Pkwy, Suite #100, Virginia Beach, VA 23456-1492 2010-09-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336679349 Joelene Grandy Contractor 1892 Riverrock Arch, Virginia Beach, VA 23456 2017-06-13
1023568995 Red Mill Pediatric Dentistry and Behl Orthodontics Pllc Dentist 2033 Fisher Arch, Ste 100, Virginia Beach, VA 23456 2016-10-04
1609235803 Maria Teresa Olivas Registered Nurse 3212 Fluuanna Circle, Virginia Beach, VA 23456 2016-02-16
1326434747 Catharine White Cartwright Physician Assistant 2501 James Madison Blvd, Virginia Beach, VA 23456 2015-04-13
1598153785 Harris Teeter LLC Pharmacy 2105 Princess Anne Road, Suite 100, Virginia Beach, VA 23456 2014-12-23
1881034023 Kimberly Ann Benson Dentist 2105 Princess Anne Road, Suite 108, Virginia Beach, VA 23456 2013-07-02
1124378450 Phyllis A. Wilson Psychologist 1249 Eagle Way, Virginia Beach, VA 23456 2012-09-13
1033477807 Wolfgang J. Bay Dentist 1625 Salem Road #101, Virginia Beach, VA 23456 2012-04-30
1881974475 Virginia Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 2232 General Booth Blvd, Virginia Beach, VA 23456 2011-08-26
1780988857 Casey Snyder Dentist 2484 North Landing Road, Virginia Beach, VA 23456 2011-01-05
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Taxonomy Information

Taxonomy Code 332000000X
Grouping Suppliers
Classification Military/U.S. Coast Guard Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740389865 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy 1185 Terrier Ave, Ste 100, Virginia Beach, VA 23461 2006-09-22
1578977666 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy 1550 Tomcat Blvd Ste 150, Naval Air Station Oceana, Virginia Beach, VA 23460-2186 2014-06-17
1851704431 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy 2100 Lynnhaven Pkwy Ste 201, Virginia Beach, VA 23456-1492 2014-06-11
1396158168 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy 1885 Terrier Ave Ste 100, Virginia Beach, VA 23461-2205 2014-06-09
1205249075 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy 1035 Nider Blvd Ste 100, Branch Health Clinic, Virginia Beach, VA 23459-8701 2014-06-09
1952408700 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy 1035 Nider Blvd, Ste 100, Virginia Beach, VA 23459-8701 2006-09-20
1225135072 Naval Medical Center Portsmouth Military/U.S. Coast Guard Pharmacy 1550 Tomcat Blvd, Ste 150, Virginia Beach, VA 23460-2188 2006-09-20

Providers in the same taxonomy and state

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
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
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Competitor

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City VIRGINIA BEACH
Zip Code 23456

Improve Information

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Dataset Information

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.

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