NPIMap

Organization Active NPI

College of William & Mary

  • Student Health Clinic/Center
  • Williamsburg, VA
National Provider Identifier
1023303757
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
0201001314 Issued in VA
Legal business name
COLLEGE OF WILLIAM & MARY
Doing business as
Student Heath Service Pharmacy
Practice address
1 Gooch Dr
Williamsburg, VA 23185
Phone
(757) 221-2190
Fax
(757) 221-1245
NPI assigned
Jun 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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

Authorized official

Name
Maureen Bounds, PHARM.D.
Title
Pharmacist in Charge
Phone
(757) 221-2190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X 0201001314 VA Primary

Addresses

Primary practice location

1 Gooch Dr
Williamsburg, VA 23185

Mailing address

1 Gooch Dr
Williamsburg, VA 23185
Phone (757) 221-2190

Other names 1

  • Student Heath Service Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
College of William Mary2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1307664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307664000000",
    "number": "1023303757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GOOCH DR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "23185",
            "telephone_number": "757-221-2190",
            "fax_number": "757-221-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GOOCH DR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "23185",
            "telephone_number": "757-221-2190",
            "fax_number": "757-221-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE OF WILLIAM & MARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-10",
        "last_updated": "2011-06-10",
        "status": "A",
        "authorized_official_last_name": "BOUNDS",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "757-221-2190",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "VA",
            "license": "0201001314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Student Heath Service Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.