Active NPI
Nequa Powell
- Pharmacist
- Suffolk, VA
National Provider Identifier
1336912260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202218499
- Practice address
- 1520 Breezeport Way Ste 500
Suffolk, VA 23435-3757 - Phone
- (757) 861-0050
- NPI assigned
- Nov 2, 2023
- Sex
- Female
- 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 | 0202218499 | VA | Primary |
Addresses
Primary practice location
1520 Breezeport Way Ste 500
Suffolk, VA 23435-3757
Mailing address
1520 Breezeport Way Ste 500
Suffolk, VA 23435-3757
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202218499 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tsi Tidewater LLC | Current | Accepting new patients |
Locations
1520 Breezeport Way
Ste 500
Suffolk, VA 23435
Phone (757) 861-0050
Organizations & group practices 1
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.
-
- Home Infusion Therapy Pharmacy
- Suffolk, VA
- NPI 1114631447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1336912260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 BREEZEPORT WAY STE 500",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234353757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 BREEZEPORT WAY STE 500",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234353757",
"telephone_number": "757-861-0050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "NEQUA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-02",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202218499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.