NPIMap

Organization Active NPI

On-Site RX

Doing business as CPS Heartbeats Wellness Center-Knells ridge

  • Community/Retail Pharmacy
  • Chesapeake, VA
National Provider Identifier
1679917611
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201004511 Issued in VA
Legal business name
ON-SITE RX
Doing business as
CPS Heartbeats Wellness Center-Knells ridge
Practice address
817 Botetourt CT
Ste. 103
Chesapeake, VA 23320-4886
Phone
(757) 410-2775
Fax
(757) 410-2790
NPI assigned
Apr 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Pam McNeilly
Title
Coordinator of Pharmacy Operations
Phone
(770) 532-1551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 0201004511 VA Primary

Addresses

Primary practice location

817 Botetourt CT
Ste. 103
Chesapeake, VA 23320-4886

Mailing address

PO Box 7036
Chestnut Mountain, GA 30502-0036
Phone (770) 532-1551

Other names 1

  • CPS Heartbeats Wellness Center-Knells ridge Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2093740CPS Heartbeats Wellness Center - Knells Ridge817 Botetourt Court - Suite 103, Chesapeake, VA 23320Certificate of waiverApr 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
On Site RX Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

817 Botetourt Ct
Ste 103
Chesapeake, VA 23320
Phone (757) 410-2775

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": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1679917611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7036",
            "city": "CHESTNUT MOUNTAIN",
            "state": "GA",
            "postal_code": "305020036",
            "telephone_number": "770-532-1551",
            "fax_number": "770-536-7519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 BOTETOURT CT",
            "address_2": "STE. 103",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204886",
            "telephone_number": "757-410-2775",
            "fax_number": "757-410-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON-SITE RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "MCNEILLY",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "COORDINATOR OF PHARMACY OPERATIONS",
        "authorized_official_telephone_number": "770-532-1551"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CPS Heartbeats Wellness Center-Knells ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.