NPIMap

Organization Active NPI

Eastern Shore Rural Health System Incorporated

Doing business as Atlantic Community Pharmacy

  • Community/Retail Pharmacy
  • Oak Hall, VA
National Provider Identifier
1174224604
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED
Doing business as
Atlantic Community Pharmacy
Practice address
7001 Lankford Hwy
Oak Hall, VA 23416-2223
Phone
(757) 824-4477
NPI assigned
Mar 13, 2023
Last updated
Mar 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Jeannette Edwards
Title
Chief Executive Officer
Phone
(757) 414-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

7001 Lankford Hwy
Oak Hall, VA 23416-2223

Mailing address

20280 Market St
Onancock, VA 23417-1331
Phone (757) 414-0400

Other names 1

  • Atlantic Community Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250425001360 VA DME Supplier - Pharmacy 2668380106 Practice locations: Oak Hall, VA
O20260123000513 VA Part B Supplier - Mass Immunization (Roster Biller Only) 2668380106 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Oak Hall, VA; Onley, VA

Other NPIs with the same Medicare PAC ID 7

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Atlantic Community Pharmacy7001 Lankford Hwy, Oak Hall, VA 23416-2223(757) 824-4477 Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Jan 1, 1989

National Provider Directory

National Provider Directory
Tax ID family
Eastern Shore Rural Health System Incorporated10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

7001 Lankford Hwy
Oak Hall, VA 23416
Phone (757) 824-4477

8034 Lankford Hwy
Oak Hall, VA 23416
Phone (757) 824-5676

20306 Badger Ln
Onancock, VA 23417
Phone (757) 302-9066

25228 Lankford Hwy
Onley, VA 23418
Phone (757) 414-0500

Practitioners & affiliated clinicians

Practitioners 64

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.

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1174224604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20280 MARKET ST",
            "city": "ONANCOCK",
            "state": "VA",
            "postal_code": "234171331",
            "telephone_number": "757-414-0400",
            "fax_number": "757-414-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 LANKFORD HWY",
            "city": "OAK HALL",
            "state": "VA",
            "postal_code": "234162223",
            "telephone_number": "757-824-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "757-414-0400"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Hall, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.