NPIMap

Organization Active NPI

Kuumba Comm Health & Wellness Center, Inc

Doing business as New Horizons Healthcare Pharmacy, Valley View

  • Federally Qualified Health Center (FQHC)
  • Roanoke, VA
National Provider Identifier
1376212886
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
KUUMBA COMM HEALTH & WELLNESS CENTER, INC
Doing business as
New Horizons Healthcare Pharmacy, Valley View
Practice address
5060 Valley View Blvd NW
Roanoke, VA 24012-2038
Phone
(540) 283-2555
Fax
(540) 283-2544
NPI assigned
Sep 8, 2021
Organization subpart
Yes
Parent organization
KUUMBA COMM HEALTH & WELLNESS CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Authorized official

Name
Kimberley Alderman Slaughter, R.PH.
Title
Pharmacy Director
Phone
(540) 283-2555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

5060 Valley View Blvd NW
Roanoke, VA 24012-2038

Mailing address

3716 Melrose Ave NW
Roanoke, VA 24017-2716
Phone (540) 283-2555

Other names 1

  • New Horizons Healthcare Pharmacy, Valley View Doing business as

National Provider Directory

National Provider Directory
Tax ID family
New Horizons Healthcare8 organizations share this tax ID, including this one
Part of
New Horizons Healthcare

Other organizations with this tax ID 7

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1376212886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 MELROSE AVE NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240172716",
            "telephone_number": "540-283-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 VALLEY VIEW BLVD NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240122038",
            "telephone_number": "540-283-2555",
            "fax_number": "540-283-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUUMBA COMM HEALTH & WELLNESS CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KUUMBA COMM HEALTH & WELLNESS CENTER, INC",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "SLAUGHTER",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_middle_name": "ALDERMAN",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "540-283-2555",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Horizons Healthcare Pharmacy, Valley View",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.