NPIMap

Organization Active NPI

Mao Pharmacy Inc.

Doing business as Westwood Behavioral Health Pharmacy Chesapeake

  • Long Term Care Pharmacy
  • Chesapeake, VA
National Provider Identifier
1053770727
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
0201004687 Issued in VA
Legal business name
MAO PHARMACY INC.
Doing business as
Westwood Behavioral Health Pharmacy Chesapeake
Practice address
224 Great Bridge Blvd Ste 161B
Chesapeake, VA 23320-3904
Phone
(757) 547-2247
Fax
(757) 547-2244
NPI assigned
Feb 23, 2016
Last updated
Feb 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Authorized official

Name
Shubhro Pal
Title
Vice President of Operations
Phone
(804) 288-3620

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU
Long Term Care Pharmacy 3336L0003X 0201004687 VA Primary

Addresses

Primary practice location

224 Great Bridge Blvd Ste 161B
Chesapeake, VA 23320-3904

Mailing address

5823 Patterson Ave
Richmond, VA 23226-2536
Phone (804) 288-1933

Other identifiers 1

IdentifierTypeStateIssuer
2158221OtherPK

Other names 1

  • Westwood Behavioral Health Pharmacy Chesapeake Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mao Pharmacy Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

224 Great Bridge Blvd
Ste 161B
Chesapeake, VA 23320
Phone (757) 547-2247

Practitioners & affiliated clinicians

Practitioners 1

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": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1053770727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5823 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262536",
            "telephone_number": "804-288-1933",
            "fax_number": "804-288-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 GREAT BRIDGE BLVD STE 161B",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203904",
            "telephone_number": "757-547-2247",
            "fax_number": "757-547-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAO PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "PAL",
        "authorized_official_first_name": "SHUBHRO",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "804-288-3620"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "VA",
            "license": "0201004687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158221",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westwood Behavioral Health Pharmacy Chesapeake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.