NPIMap

Organization Active NPI

Kuumba Comm Health & Wellness Center, Inc

Doing business as New Horizons Healthcare Pharmacy

  • Community/Retail Pharmacy
  • Roanoke, VA
National Provider Identifier
1699029884
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201004488 Issued in VA
Legal business name
KUUMBA COMM HEALTH & WELLNESS CENTER, INC
Doing business as
New Horizons Healthcare Pharmacy
Practice address
3716 Melrose Ave NW
Suite 130
Roanoke, VA 24017-2716
Phone
(540) 283-2552
Fax
(540) 283-2544
NPI assigned
Nov 9, 2012
Last updated
Sep 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Authorized official

Name
Ms. Eileen G Lepro
Title
Ceo
Phone
(540) 362-5158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 0201004488 VA Primary

Addresses

Primary practice location

3716 Melrose Ave NW
Suite 130
Roanoke, VA 24017-2716

Mailing address

3716 Melrose Ave NW
Suite 130
Roanoke, VA 24017-2716
Phone (540) 283-2552

Other names 1

  • NEW HORIZONS HEALTHCARE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kuumba Community Health Wellness Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

3716 Melrose Ave NW
Ste 130
Roanoke, VA 24017
Phone (540) 283-2552

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1699029884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 MELROSE AVE NW",
            "address_2": "SUITE 130",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240172716",
            "telephone_number": "540-283-2552",
            "fax_number": "540-283-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 MELROSE AVE NW",
            "address_2": "SUITE 130",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240172716",
            "telephone_number": "540-283-2552",
            "fax_number": "540-283-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUUMBA COMM HEALTH & WELLNESS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "LEPRO",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-362-5158",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW HORIZONS HEALTHCARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NEW HORIZONS HEALTHCARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.