NAVAL MEDICAL CENTER PORTSMOUTH (NPI# 1851704431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851704431 |
| Entity Type | Organization |
| Organization Name | NAVAL MEDICAL CENTER PORTSMOUTH |
| Practice Address |
2100 Lynnhaven Pkwy Ste 201 Virginia Beach VA 23456-1492 |
| Mailing Address |
Third Party Collections 620 John Paul Jones Cir Porthsmouth VA 23708-2111 |
| Practice Telephone | 7579536684 |
| Practice Fax Number | 7579536716 |
| Mailing Telephone | 7579536684 |
| Mailing Fax Number | 7579536716 |
| Enumeration Date | 2014-06-11 |
| 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 |
| 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 | 2146191 | 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 |
2100 LYNNHAVEN PKWY STE 201 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23456-1492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366504144 | Cynthia Jane Peters | Nurse Practitioner | 2100 Lynnhaven Pkwy Ste 201, Virginia Beach, VA 23456-1492 | 2006-12-15 |
| 1598137432 | Jennifer Nicole Mays | Pharmacist | 2100 Lynnhaven Pkwy Ste 201, Virginia Beach, VA 23456-1492 | 2015-10-29 |
| 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 |
| Find all providers in zip 23456 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1770680522 | Naval Medical Center Portsmouth | Military/U.S. Coast Guard Pharmacy | 2100 Lynnhaven Pkwy, Ste 201, Virginia Beach, VA 23456-1492 | 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23456 |
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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.