Active NPI
Alliance Pharmacy and Wellness Inc
- Community/Retail Pharmacy
- Portsmouth, VA
National Provider Identifier
1679261200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30017586470001 | Medicaid | VA |
Other names 1
- Alliance Pharmacy and Wellness
National Provider Directory
National Provider DirectoryLocations
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.