Organization Active NPI

Jones & Cabacoy Veterans Care Center

  • Long Term Care Pharmacy
  • Virginia Beach, VA
National Provider Identifier
1093437725
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
JONES & CABACOY VETERANS CARE CENTER
Practice address
2641 Nimmo Pkwy
Virginia Beach, VA 23456-9134
Phone
(757) 663-6308
NPI assigned
Sep 19, 2022
Organization subpart
Yes
Parent organization
JONES & CABACOY VETERANS CARE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
David PayneNPI 1750986899
Title
Pharmacist in Charge
Phone
(757) 831-1533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

2641 Nimmo Pkwy
Virginia Beach, VA 23456-9134

Mailing address

2641 Nimmo Pkwy
Virginia Beach, VA 23456-9134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231206003360 VA Part B Supplier - Pharmacy 1153770862 Practice locations: Virginia Beach, VA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Jones Cabacoy Veterans Car2 organizations share this tax ID, including this one
Part of
Jones Cabacoy Veterans Car

Other organizations with this tax ID 1

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Jones & Cabacoy Veterans Care CenterVirginia Beach, VA, CCN 495433 Skilled nursing facility Operational/Managerial Control (100%) Dec 10, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1093437725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 NIMMO PKWY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234569134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 NIMMO PKWY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234569134",
            "telephone_number": "757-663-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONES & CABACOY VETERANS CARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JONES & CABACOY VETERANS CARE CENTER",
        "enumeration_date": "2022-09-19",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "757-831-1533"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.