Active NPI
Lawrence Hyde Corporation
- Community/Retail Pharmacy
- Chesapeake, VA
National Provider Identifier
1740388784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 0201000416
- Legal business name
- LAWRENCE HYDE CORPORATION
- Practice address
- 1156 George Washington Hwy N
Chesapeake, VA 23323-4908 - Phone
- (757) 487-3458
- Fax
- (757) 487-4131
- NPI assigned
- Sep 21, 2006
- 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
- Chris Mercer, RPH
- Title
- Owner/Pic
- Phone
- (757) 487-3458
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 0201000416 | VA | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
1156 George Washington Hwy N
Chesapeake, VA 23323-4908
Mailing address
1156 George Washington Hwy N
Chesapeake, VA 23323-4908
Phone (757) 487-3458
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8504130 | Medicaid | VA | |
| 2102423 | Other | PK | |
| 1740388784 | Medicaid | VA |
Other names 1
- LAWRENCE PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080926000604 | VA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7113094517 | Practice locations: Chesapeake, VA |
| O20100930040654 | VA | DME Supplier - Pharmacy | 7113094517 | Practice locations: Chesapeake, VA |
National Provider Directory
National Provider Directory- Tax ID family
- Lawrence Hyde Corporation
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Chesapeake, VA
- NPI 1942183231
-
- Durable Medical Equipment & Medical Supplies
- Chesapeake, VA
- NPI 1427122910
Locations
1156 George Washington Hwy N
Chesapeake, VA 23323
Phone (757) 487-3458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473984000000",
"number": "1740388784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1156 GEORGE WASHINGTON HWY N",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233234908",
"telephone_number": "757-487-3458",
"fax_number": "757-487-4131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1156 GEORGE WASHINGTON HWY N",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233234908",
"telephone_number": "757-487-3458",
"fax_number": "757-487-4131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAWRENCE HYDE CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-21",
"last_updated": "2016-09-16",
"status": "A",
"authorized_official_last_name": "MERCER",
"authorized_official_first_name": "CHRIS",
"authorized_official_title_or_position": "OWNER/PIC",
"authorized_official_telephone_number": "757-487-3458",
"authorized_official_credential": "RPH"
},
"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": "0201000416",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8504130",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2102423",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1740388784",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LAWRENCE PHARMACY",
"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 Sep 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.