Active NPI
Dr. Terry Sinclair Health Clinic, Inc. Pharmacy
- Clinic Pharmacy
- Winchester, VA
National Provider Identifier
1114339959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic Pharmacy
- License
- 0201002404
- Legal business name
- DR. TERRY SINCLAIR HEALTH CLINIC, INC. PHARMACY
- Practice address
- 301 N Cameron Street.
Suite 100
Winchester, VA 22601 - Phone
- (540) 536-1680
- Fax
- (540) 662-4724
- NPI assigned
- May 28, 2014
- Organization subpart
- Yes
- Parent organization
- DR TERRY SINCLAIR HEALTH CLINIC INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katrrina R McClure, MPH
- Title
- Executive Director
- Phone
- (540) 536-1681
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Clinic Pharmacy | 3336C0002X | 0201002404 | VA | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
301 N Cameron Street.
Suite 100
Winchester, VA 22601
Mailing address
301 N. Cameron Street,
Suite 100
Winchester, VA 22601
Phone (540) 536-1680
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2158229 | Other | PK |
Other names 1
- Free Medical Clinic of Nothern Shenandoah Valley. Inc.
National Provider Directory
National Provider Directory- Tax ID family
- Free Medical Clinic of Northern Shenandoah Valley
- Part of
- Free Medical Clinic of Northern Shenandoah Valley
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Winchester, VA
- NPI 1245765544
-
- Health Service Clinic/Center
- Winchester, VA
- NPI 1750592788
Interoperability endpoints
- https://api.platform.athenahealth.com/13270/brand/1/csg/1/fhir/r4
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.
-
- Clinic/Center
- Winchester, VA
- NPI 1245765544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620604800000",
"number": "1114339959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 N. CAMERON STREET,",
"address_2": "SUITE 100",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "22601",
"telephone_number": "540-536-1680",
"fax_number": "540-662-4724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N CAMERON STREET.",
"address_2": "SUITE 100",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "22601",
"telephone_number": "540-536-1680",
"fax_number": "540-662-4724"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. TERRY SINCLAIR HEALTH CLINIC, INC. PHARMACY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DR TERRY SINCLAIR HEALTH CLINIC INC",
"enumeration_date": "2014-05-28",
"last_updated": "2021-05-10",
"certification_date": "2021-04-27",
"status": "A",
"authorized_official_last_name": "MCCLURE",
"authorized_official_first_name": "KATRRINA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "540-536-1681",
"authorized_official_credential": "MPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": "VA",
"license": "0201002404",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2158229",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Free Medical Clinic of Nothern Shenandoah Valley. Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Winchester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.