North Beach Enterprises, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

NORTH BEACH ENTERPRISES, INC.

Practice address

3271B Main St.
Exmore, VA 23350-3901

Phone

(757) 442-7982

Fax

(757) 442-7985

NPI assigned

Apr 3, 2013

Organization subpart

No

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

Authorized official

Name

Darren BussNPI 1518148147

Title

Vice President

Phone

(757) 965-3036

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shore Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Tax ID family

Beach Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• North Beach Enterprises, Inc.

  • Community/Retail Pharmacy
  • Virginia Beach, VA
  • NPI 1427365691
  NPD tax ID

Locations

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

• North Beach Enterprises, Inc.

  • Community/Retail Pharmacy
  • Virginia Beach, VA
  • NPI 1427365691

  8729303797

  Same PAC ID

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

• Darren Buss, R.PH.

  • Pharmacist
  • Virginia Beach, VA
  • NPI 1518148147
  NPD Authorized official
• Charlotte L Grubb, PHARM D

  • Pharmacist
  • Virginia Beach, VA
  • NPI 1437478419
  NPD
• Jason Strosnider

  • Pharmacist
  • Exmore, VA
  • NPI 1831967918
  NPD

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1124361589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1155",
            "city": "EXMORE",
            "state": "VA",
            "postal_code": "233501155",
            "telephone_number": "757-442-7982",
            "fax_number": "757-442-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3271B MAIN ST.",
            "city": "EXMORE",
            "state": "VA",
            "postal_code": "233503901",
            "telephone_number": "757-442-7982",
            "fax_number": "757-442-7985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BEACH ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "BUSS",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "757-965-3036"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124361589",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shore Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Anne Lewis, LPC
• Little Hands Little Feet Pediatric Therapy, PLLC
• Mark C Raymond MD PC
• Mark C Raymond MD PC
• Shirley Regina Mason-Randall, M.D.
• John Donald Ogram, M.D.
• Philip Dorr Richard, RPH
• Sdec
• Thomas Lloyd Smith Jr.
• Matthew Sorensen, PHARMD.

• All providers in Exmore, VA
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.