Newport News Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

0201004065 Issued in VA

Legal business name

NEWPORT NEWS PHARMACY LLC

Practice address

9555 Kings Charter Dr Ste D
Ashland, VA 23005-7994

Phone

(804) 412-2533

Fax

(888) 550-0017

NPI assigned

Jun 12, 2006

Organization subpart

No

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

Authorized official

Name

Stephen Sommer

Title

VP of Finance

Phone

(314) 965-4700

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Rx Connex Doing business as

Locations

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1669414967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9555 KINGS CHARTER DR",
            "address_2": "SUITE D",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230057994",
            "telephone_number": "804-412-2533",
            "fax_number": "888-550-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 KINGS CHARTER DR STE D",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230057994",
            "telephone_number": "804-412-2533",
            "fax_number": "888-550-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT NEWS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "SOMMER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "314-965-4700"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "VA",
            "license": "0201004065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4839087",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010219051",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rx Connex",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Ashland, VA
• Providers in Ashland, VA by specialty
• Long Term Care Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.