NPIMap

Organization Active NPI

Fredericksburg Area Regional Health Council

Doing business as Lloyd F Moss Free Clinic Pharmacy

  • Clinic Pharmacy
  • Fredericksburg, VA
National Provider Identifier
1023396892
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
FREDERICKSBURG AREA REGIONAL HEALTH COUNCIL
Doing business as
Lloyd F Moss Free Clinic Pharmacy
Lloyd F. Moss Free Clinic
Practice address
1301 Sam Perry Blvd
Suite 100
Fredericksburg, VA 22401-8420
Phone
(540) 741-1055
Fax
(540) 741-3103
NPI assigned
Jul 28, 2011
Last updated
Jun 13, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
FREDERICKSBURG AREA REGIONAL HEALTH COUNCILAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Authorized official

Name
Karen Dulaney
Title
Executive Director
Phone
(540) 741-1065

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 0201003169 VA
Clinic Pharmacy 3336C0002X Primary

Addresses

Primary practice location

1301 Sam Perry Blvd
Suite 100
Fredericksburg, VA 22401-8420

Mailing address

1301 Sam Perry Blvd
Suite 100
Fredericksburg, VA 22401-8420
Phone (540) 741-1065

Other names 2

  • Lloyd F Moss Free Clinic Pharmacy Doing business as
  • Lloyd F. Moss Free Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fredericksburg Area Regional Health Council2 organizations share this tax ID, including this one
Part of
Fredericksburg Area Regional Health Council

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1023396892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SAM PERRY BLVD",
            "address_2": "SUITE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018420",
            "telephone_number": "540-741-1065",
            "fax_number": "540-741-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SAM PERRY BLVD",
            "address_2": "SUITE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018420",
            "telephone_number": "540-741-1055",
            "fax_number": "540-741-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICKSBURG AREA REGIONAL HEALTH COUNCIL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREDERICKSBURG AREA REGIONAL HEALTH COUNCIL",
        "enumeration_date": "2011-07-28",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "DULANEY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "540-741-1065"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "0201003169",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lloyd F Moss Free Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lloyd F. Moss Free Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.