Active NPI
James Coleman Mitchell Jr., RPH
- Pharmacist
- Newport News, VA
National Provider Identifier
1275563231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202006713
- Practice address
- 2315 Jefferson Ave
Newport News, VA 23607-4509 - Phone
- (757) 586-5552
- Fax
- (757) 856-5558
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202006713 | VA | Primary |
Addresses
Primary practice location
2315 Jefferson Ave
Newport News, VA 23607-4509
Mailing address
2315 Jefferson Ave
Newport News, VA 23607-4509
Phone (757) 586-5552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202006713 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Community Pharmacy | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
2315 Jefferson Ave
Newport News, VA 23607
Phone (757) 586-5552
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Newport News, VA
- NPI 1336818087
-
- Pharmacy
- Hayes, VA
- NPI 1922309160
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679529600000",
"number": "1275563231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 JEFFERSON AVE",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236074509",
"telephone_number": "757-586-5552",
"fax_number": "757-586-5558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 JEFFERSON AVE",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236074509",
"telephone_number": "757-586-5552",
"fax_number": "757-856-5558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "JAMES",
"middle_name": "COLEMAN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2023-03-23",
"certification_date": "2023-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202006713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.