NPIMap

Organization Active NPI

Harness Health Pharmacy - Virginia LLC

  • Community/Retail Pharmacy
  • Newport News, VA
National Provider Identifier
1629414867
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201004517 Issued in VA
Legal business name
HARNESS HEALTH PHARMACY - VIRGINIA LLC
Practice address
12720 McManus Blvd Ste 100
Newport News, VA 23602-4414
Phone
(757) 947-3740
Fax
(757) 947-3745
NPI assigned
May 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Authorized official

Name
Kimberly M Ralston
Title
VP Reimbursment
Phone
(419) 996-5119

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 0201004517 VA Primary

Addresses

Primary practice location

12720 McManus Blvd Ste 100
Newport News, VA 23602-4414

Mailing address

12720 McManus Blvd Ste 100
Newport News, VA 23602-4441
Phone (757) 947-3740

Other identifiers 2

IdentifierTypeStateIssuer
2140328OtherPK
1629414867MedicaidVA

Other names 2

  • Good Health Pharmacy At Mary Immaculate Hospital Doing business as
  • HARNESS HEALTH PHARMACY #512 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bon Secours-Virginia Healthsource Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

12720 McManus Blvd
Ste 100
Newport News, VA 23602
Phone (757) 947-3740

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1629414867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12720 MCMANUS BLVD STE 100",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024441",
            "telephone_number": "757-947-3740",
            "fax_number": "757-947-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12720 MCMANUS BLVD STE 100",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024414",
            "telephone_number": "757-947-3740",
            "fax_number": "757-947-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARNESS HEALTH PHARMACY - VIRGINIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP REIMBURSMENT",
        "authorized_official_telephone_number": "419-996-5119"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140328",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629414867",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Health Pharmacy At Mary Immaculate Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HARNESS HEALTH PHARMACY #512",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.