Affinity Healthcare

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

2536 Issued in VA

Legal business name

AFFINITY HEALTHCARE

Practice address

5715 Princess Anne Rd
Suite 107
Virginia BCH, VA 23462-3222

Phone

(757) 962-0748

NPI assigned

Nov 4, 2014

Last updated

Nov 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sheilah Maxwell, R.PH

Title

Pharmacist in Charge

Phone

(757) 469-1803

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1396140240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5715 PRINCESS ANNE RD",
            "address_2": "SUITE 107",
            "city": "VIRGINIA BCH",
            "state": "VA",
            "postal_code": "234623222",
            "telephone_number": "757-962-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5715 PRINCESS ANNE RD",
            "address_2": "SUITE 107",
            "city": "VIRGINIA BCH",
            "state": "VA",
            "postal_code": "234623222",
            "telephone_number": "757-962-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "SHEILAH",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "757-469-1803",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "VA",
            "license": "2536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.