Organization Active NPI

Hidenwood Pharmacy of Newport News Inc

  • Community/Retail Pharmacy
  • Newport News, VA
National Provider Identifier
1720004435
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201001529 Issued in VA
Legal business name
HIDENWOOD PHARMACY OF NEWPORT NEWS INC
Practice address
35 Hidenwood Shopping Ctr
Newport News, VA 23606-2200
Phone
(757) 595-1151
Fax
(757) 599-3202
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Anne HutchensNPI 1699323089
Title
President
Phone
(757) 595-1151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 0201001529 VA Primary

Addresses

Primary practice location

35 Hidenwood Shopping Ctr
Newport News, VA 23606-2200

Mailing address

35 Hidenwood Shopping Ctr
Newport News, VA 23606-2200
Phone (757) 595-1151

Other identifiers 2

IdentifierTypeStateIssuer
008504741MedicaidVA
2102336OtherPK

Other names 1

  • Hidenwood Pharmacy, Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210310001451 VA Part B Supplier - Pharmacy 7416363841 Practice locations: Newport News, VA

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
49D2206262Hidenwood Pharmacy Inc35 Hidenwood Shopping Center, Newport News, VA 23606Certificate of waiverDec 17, 2026

National Provider Directory

National Provider Directory

Locations

35 Hidenwood Shopping Ctr
Newport News, VA 23606
Phone (757) 595-1151

Practitioners & affiliated clinicians

Practitioners 3

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": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1720004435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 HIDENWOOD SHOPPING CTR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062200",
            "telephone_number": "757-595-1151",
            "fax_number": "757-599-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 HIDENWOOD SHOPPING CTR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062200",
            "telephone_number": "757-595-1151",
            "fax_number": "757-599-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDENWOOD PHARMACY OF NEWPORT NEWS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "HUTCHENS",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-595-1151"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201001529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008504741",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2102336",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hidenwood Pharmacy, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.