The Community Free Clinic of Newport News

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201004399 Issued in VA

Legal business name

THE COMMUNITY FREE CLINIC OF NEWPORT NEWS

Doing business as

The Community Free Clinic of Newport News

Practice address

727 25TH St
Newport News, VA 23607-4601

Phone

(757) 594-4060

Fax

(757) 594-4257

NPI assigned

May 16, 2014

Last updated

May 16, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Logue

Title

Pharmacist

Phone

(757) 876-6060

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• The Community Free Clinic of Newport News Doing business as

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1265843833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 25TH ST",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236074601",
            "telephone_number": "757-594-4060",
            "fax_number": "757-594-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 25TH ST",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236074601",
            "telephone_number": "757-594-4060",
            "fax_number": "757-594-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMMUNITY FREE CLINIC OF NEWPORT NEWS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "LOGUE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "757-876-6060"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145725",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Community Free Clinic of Newport News",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Newport News, VA
• Providers in Newport News, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.