Organization Active NPI

Dr. Terry Sinclair Health Clinic, Inc. Pharmacy

  • Clinic Pharmacy
  • Winchester, VA
National Provider Identifier
1114339959
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
0201002404 Issued in VA
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 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 10, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2158229OtherPK

Other names 1

  • Free Medical Clinic of Nothern Shenandoah Valley. Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Free Medical Clinic of Northern Shenandoah Valley3 organizations share this tax ID, including this one
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.

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.