NPIMap

Organization Active NPI

NMC Portsmouth

Doing business as Dod Portsmouth Dam Neck Pharmacy

  • Military/U.S. Coast Guard Pharmacy
  • Virginia Beach, VA
National Provider Identifier
1396158168
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard PharmacyTaxonomy code 332000000X
Legal business name
NMC PORTSMOUTH
Doing business as
Dod Portsmouth Dam Neck Pharmacy
Practice address
1885 Terrier Ave Ste 100
Virginia Beach, VA 23461-2205
Phone
(757) 953-9881
Fax
(757) 953-9908
NPI assigned
Jun 9, 2014
Last updated
May 30, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NMC PORTSMOUTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Authorized official

Name
William M Condon
Title
Ubo Manager
Phone
(240) 401-3643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Pharmacy 332000000X NU Primary

Addresses

Primary practice location

1885 Terrier Ave Ste 100
Virginia Beach, VA 23461-2205

Mailing address

Third Party Collections
620 John Paul Jones Cir
Porthsmouth, VA 23708-2111
Phone (757) 953-9881

Other identifiers 1

IdentifierTypeStateIssuer
2146174OtherPK

Other names 1

  • DOD PORTSMOUTH DAM NECK PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Branch Medical Clinic Sewells Point21 organizations share this tax ID, including this one
Part of
Branch Medical Clinic Sewells Point

Other organizations with this tax ID 20

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

View all 20

Locations

1885 Terrier Ave
Ste 100
Virginia Beach, VA 23461
Phone (757) 314-7215

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1396158168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THIRD PARTY COLLECTIONS",
            "address_2": "620 JOHN PAUL JONES CIR",
            "city": "PORTHSMOUTH",
            "state": "VA",
            "postal_code": "237082111",
            "telephone_number": "757-953-9881",
            "fax_number": "757-953-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 TERRIER AVE STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234612205",
            "telephone_number": "757-953-9881",
            "fax_number": "757-953-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NMC PORTSMOUTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NMC PORTSMOUTH",
        "enumeration_date": "2014-06-09",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "CONDON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "UBO MANAGER",
        "authorized_official_telephone_number": "240-401-3643"
    },
    "taxonomies": [
        {
            "code": "332000000X",
            "taxonomy_group": "",
            "desc": "Military/U.S. Coast Guard Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146174",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOD PORTSMOUTH DAM NECK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.