NPIMap

Organization Active NPI

HDMC Pharmacy

  • Pharmacy
  • Petersburg, VA
National Provider Identifier
1275511768
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
0201001240 Issued in VA
Legal business name
HDMC PHARMACY
Practice address
26317 W Washington Street Extended
Petersburg, VA 23803
Phone
(804) 524-7744
Fax
(804) 524-4718
NPI assigned
Jan 4, 2006
Last updated
Aug 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Dr. Jarvis T Griffin, DHA, LNHA, CPHQ
Title
Facility Director/Ceo
Phone
(804) 524-7112

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 0201001240 VA Primary
Long Term Care Pharmacy 3336L0003X 0201001240 VA

Addresses

Primary practice location

26317 W Washington Street Extended
Petersburg, VA 23803

Mailing address

26317 W Washington Street Extended
Petersburg, VA 23803
Phone (804) 524-7744

Other identifiers 1

IdentifierTypeStateIssuer
49-0104/495113MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Commonwealth of VA Hiram W Davis Medical Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1275511768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26317 W WASHINGTON STREET EXTENDED",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "23803",
            "telephone_number": "804-524-7744",
            "fax_number": "804-524-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26317 W WASHINGTON STREET EXTENDED",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "23803",
            "telephone_number": "804-524-7744",
            "fax_number": "804-524-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HDMC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "JARVIS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "FACILITY DIRECTOR/CEO",
        "authorized_official_telephone_number": "804-524-7112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DHA, LNHA, CPHQ"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0201001240",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "VA",
            "license": "0201001240",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49-0104/495113",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.