Organization Active NPI

Ghent Pharmacy Inc

  • Community/Retail Pharmacy
  • Norfolk, VA
National Provider Identifier
1174616387
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GHENT PHARMACY INC
Practice address
957 C West 21St St
Norfolk, VA 23517
Phone
(757) 623-7455
Fax
(757) 627-6914
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Martin Freedman
Title
Pres
Phone
(757) 623-7455

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 0201002320 VA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

957 C West 21St St
Norfolk, VA 23517

Mailing address

957 C West 21St St
Norfolk, VA 23517

Other identifiers 2

IdentifierTypeStateIssuer
4820115OtherOTHER ID NUMBER-COMMERCIAL NUMBER
8515450MedicaidVA

National Provider Directory

National Provider Directory

Locations

957 W 21st St
Ste C
Norfolk, VA 23517
Phone (757) 623-7455

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1174616387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 C WEST 21ST ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 C WEST 21ST ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23517",
            "telephone_number": "757-623-7455",
            "fax_number": "757-627-6914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHENT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "FREEDMAN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "757-623-7455"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0201002320",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4820115",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8515450",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.