NPIMap

Organization Active NPI

PMR Virginia Holding, LLC

  • Non-Pharmacy Dispensing Site
  • Hampton, VA
National Provider Identifier
1447813001
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
PMR VIRGINIA HOLDING, LLC
Practice address
49 W Mercury Blvd
Hampton, VA 23669-2508
Phone
(757) 269-9980
NPI assigned
Apr 19, 2019
Last updated
Apr 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Authorized official

Name
Mary Chen
Title
Owner
Phone
(305) 628-6117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

49 W Mercury Blvd
Hampton, VA 23669-2508

Mailing address

49 W Mercury Blvd
Hampton, VA 23669-2508
Phone (757) 269-9980

National Provider Directory

National Provider Directory
Tax ID family
Jencare Senior Medical Centers of Virginia2 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.

NPI Registry JSON

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555632000000",
    "number": "1447813001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 W MERCURY BLVD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236692508",
            "telephone_number": "757-269-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 W MERCURY BLVD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236692508",
            "telephone_number": "757-269-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMR VIRGINIA HOLDING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-04-19",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-628-6117"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; 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.