Organization Active NPI

Alliance Pharmacy and Wellness Inc

  • Community/Retail Pharmacy
  • Portsmouth, VA
National Provider Identifier
1679261200
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ALLIANCE PHARMACY AND WELLNESS INC
Doing business as
Alliance Pharmacy and Wellness
Practice address
301 Goode Way Ste 102
Portsmouth, VA 23704-2266
Phone
(757) 734-5550
Fax
(757) 765-5699
NPI assigned
May 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Nakry Oeur, PHARMD
Title
Pharmacist
Phone
(904) 254-2411

Specialties & licenses 1

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

Addresses

Primary practice location

301 Goode Way Ste 102
Portsmouth, VA 23704-2266

Mailing address

11643 Beach Blvd Unit a
Jacksonville, FL 32246-6604
Phone (904) 254-2411

Other identifiers 1

IdentifierTypeStateIssuer
30017586470001MedicaidVA

Other names 1

  • Alliance Pharmacy and Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

4452 Corporation Ln
Ste 300
Virginia Beach, VA 23462
Phone (757) 518-8823

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1679261200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11643 BEACH BLVD UNIT A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322466604",
            "telephone_number": "904-254-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GOODE WAY STE 102",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042266",
            "telephone_number": "757-734-5550",
            "fax_number": "757-765-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE PHARMACY AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "OEUR",
        "authorized_official_first_name": "NAKRY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "904-254-2411",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30017586470001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Pharmacy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alliance Pharmacy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.