Organization Active NPI

Peoples Pharmacy, LLC

  • Community/Retail Pharmacy
  • Norfolk, VA
National Provider Identifier
1467815613
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PEOPLES PHARMACY, LLC
Practice address
1446 Church St
Suite C
Norfolk, VA 23504-2415
Phone
(757) 227-4677
Fax
(757) 961-4083
NPI assigned
Apr 4, 2016
Last updated
Jan 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Authorized official

Name
Dr. Anna Casey Peoples, PHARM D.NPI 1841483773
Title
Owner
Phone
(757) 548-0365

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X VA Primary

Addresses

Primary practice location

1446 Church St
Suite C
Norfolk, VA 23504-2415

Mailing address

1446 Church St Ste C
Norfolk, VA 23504-2448
Phone (757) 227-4677

Other identifiers 1

IdentifierTypeStateIssuer
1467815613MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210113001039 VA Part B Supplier - Mass Immunization (Roster Biller Only) 2961761812 Practice locations: Norfolk, VA

National Provider Directory

National Provider Directory

Locations

1446 Church St
Ste C
Norfolk, VA 23504
Phone (757) 227-4677

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1467815613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1446 CHURCH ST STE C",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235042448",
            "telephone_number": "757-227-4677",
            "fax_number": "757-961-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1446 CHURCH ST",
            "address_2": "SUITE C",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235042415",
            "telephone_number": "757-227-4677",
            "fax_number": "757-961-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLES PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "PEOPLES",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "CASEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-548-0365",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467815613",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.