Neighborcare Pharmacy of Virginia, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

NEIGHBORCARE PHARMACY OF VIRGINIA, LLC

Doing business as

Omnicare of Portsmouth #48368

Practice address

1320 Court St
Portsmouth, VA 23704-3665

Phone

(757) 399-2046

Fax

(757) 399-4150

NPI assigned

Nov 13, 2006

Last updated

Mar 12, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Colbert

Title

Sr. Director, Payer Relations

Phone

(401) 770-2751

Specialties & licenses 1

Addresses

Other names 1

• Omnicare of Portsmouth #48368 Doing business as

Medicare fee-for-service enrollment

Enrolled in VA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Neighborcare Pharmacy of Virginia, LLC

  dba Omnicare of Richmond #48370

  • Long Term Care Pharmacy
  • Richmond, VA
  • NPI 1689753907

  4183835069

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Neighborcare Pharmacy of Virginia, LLC

  dba Omnicare of Richmond #48370

  • Long Term Care Pharmacy
  • Richmond, VA
  • NPI 1689753907

  O20150819009089

  Same enrollment

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

Medicare medical equipment & supply locations

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• CVS Pharmacy Inc.

  dba CVS Pharmacy #17247

  • Pharmacy
  • North Dartmouth, MA
  • NPI 1831271071

  Member Of

  NPD member

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven Boskat, PHARMD

  • Pharmacist
  • Roanoke, VA
  • NPI 1952991473
  NPD (past)
• Kayla Hubble, PHARMD

  • Geriatric Pharmacist
  • Roanoke, VA
  • NPI 1215600119
  NPD (past)
• Hoa Thanh Mai, PHARMD.

  • Pharmacist
  • Roanoke, VA
  • NPI 1891077046
  NPD (past)
• Jacob N Simkins, RPH

  • Pharmacist
  • Roanoke, VA
  • NPI 1598038275
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1740351204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 COURT ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043665",
            "telephone_number": "757-399-2046",
            "fax_number": "757-399-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORCARE PHARMACY OF VIRGINIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "SR. DIRECTOR, PAYER RELATIONS",
        "authorized_official_telephone_number": "401-770-2751"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omnicare of Portsmouth #48368",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cory Allan Negri, DPM
• Elsio Rafael Negron-Rubio, M.D.
• Jonathan Blaze Negron, DMD
• Kinfe T Negru, PHARMACIST
• Kristyn K Neidermeyer, LCSW
• Onica Elaine Neilson, CNA
• Anastasia S Nelson, PA-C
• Andrew Alonzo Nelson, MD
• Cody James Nelson, DMD
• Joshua Nelson

• Long Term Care Pharmacy in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Long Term Care Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.