NPIMap

Organization Active NPI

Indian Health Service Richmond Service Unit

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Madison Heights, VA
National Provider Identifier
1003500240
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X
Legal business name
INDIAN HEALTH SERVICE RICHMOND SERVICE UNIT
Practice address
108 Dixie Airport Rd.
Madison Heights, VA 24572-5973
Phone
(804) 622-0011
Fax
(804) 622-0010
NPI assigned
Jun 8, 2023
Organization subpart
Yes
Parent organization
MID-ATLANTIC TRIBAL HEALTH CENTER PHARMACYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Remedios Dee Holmes
Title
Administrative Officer
Phone
(804) 622-0011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X Primary

Addresses

Primary practice location

108 Dixie Airport Rd.
Madison Heights, VA 24572-5973

Mailing address

108 Dixie Airport Rd.
Madison Heights, VA 24572-5973
Phone (804) 622-0011

Other names 1

  • Monacan Health Center Tribal Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Indian Health Service Richmond Service Unit3 organizations share this tax ID, including this one
Part of
Indian Health Service Richmond Service Unit

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1003500240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 DIXIE AIRPORT RD.",
            "city": "MADISON HEIGHTS",
            "state": "VA",
            "postal_code": "245725973",
            "telephone_number": "804-622-0011",
            "fax_number": "804-622-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 DIXIE AIRPORT RD.",
            "city": "MADISON HEIGHTS",
            "state": "VA",
            "postal_code": "245725973",
            "telephone_number": "804-622-0011",
            "fax_number": "804-622-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN HEALTH SERVICE RICHMOND SERVICE UNIT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MID-ATLANTIC TRIBAL HEALTH CENTER PHARMACY",
        "enumeration_date": "2023-06-08",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "REMEDIOS",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "804-622-0011"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monacan Health Center Tribal Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Monacan Health Center Tribal Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison Heights, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.