Gloucester Mathews Care Clinic

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

License

0201003539 Issued in VA

Legal business name

GLOUCESTER MATHEWS CARE CLINIC

Practice address

6031 Industrial Dr
Gloucester, VA 23061-3767

Phone

(804) 642-9515

Fax

(804) 684-3691

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Kerry Danaceau

Title

Pic

Phone

(804) 642-9515

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• GLOUCESTER MATHEWS CARE CLINIC Other name

Tax ID family

Gloucester Mathews Care Clinic2 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.

• Gloucester Mathews Care Clinic

  • Clinic/Center
  • Gloucester, VA
  • NPI 1184051575
  NPD tax ID

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1295740835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6031 INDUSTRIAL DR",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230613767",
            "telephone_number": "804-642-9515",
            "fax_number": "804-684-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6031 INDUSTRIAL DR",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230613767",
            "telephone_number": "804-642-9515",
            "fax_number": "804-684-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOUCESTER MATHEWS CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "DANACEAU",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "804-642-9515"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "VA",
            "license": "0201003539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2104104",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLOUCESTER MATHEWS CARE CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Meghan Gildow, CNM
• Lori King Gillespie, M.D.
• Katherine Gilman, LCSW
• Gloucester County Public Schools
• Gloucester Mathews Care Clinic
• Gloucester Ophthalmic Associates, Inc
• Gloucester Orthopaedic Clinic P C
• Gloucester Pediatrics, PC
• Gloucester Volunteer Fire and Rescue Squad, Inc.
• Shannon Marie Goldsmith, OTR

• Clinic Pharmacy in Gloucester, VA
• Providers in Gloucester, VA by specialty
• Clinic Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.