Organization Active NPI

Hope Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Richmond, VA
National Provider Identifier
1295291953
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HOPE PHARMACY, INC.
Practice address
1330 N. 25TH Street
Richmond, VA 23223
Phone
(804) 537-0103
Fax
(804) 250-8499
NPI assigned
Feb 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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

Authorized official

Name
Dr. Shantelle Lewis Brown, PHARM.D.
Title
President/Owner/Operator
Phone
(804) 537-0103

Specialties & licenses 1

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

Addresses

Primary practice location

1330 N. 25TH Street
Richmond, VA 23223

Mailing address

1111 N 25TH St
Richmond, VA 23223-5238
Phone (804) 814-5429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190821001133 VA Part B Supplier - Mass Immunization (Roster Biller Only) 4789912312 Practice locations: Richmond, VA

National Provider Directory

National Provider Directory
Tax ID family
Hope Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1111 N 25th St
Richmond, VA 23223
Phone (804) 406-4111

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550448000000",
    "number": "1295291953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N 25TH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232235238",
            "telephone_number": "804-814-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 N. 25TH STREET",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23223",
            "telephone_number": "804-537-0103",
            "fax_number": "804-250-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-18",
        "last_updated": "2019-02-18",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SHANTELLE",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/OPERATOR",
        "authorized_official_telephone_number": "804-537-0103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.