Organization Active NPI

Lawrence Hyde Corporation

  • Community/Retail Pharmacy
  • Chesapeake, VA
National Provider Identifier
1740388784
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201000416 Issued in VA
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

Updated by the provider on Sep 16, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8504130MedicaidVA
2102423OtherPK
1740388784MedicaidVA

Other names 1

  • LAWRENCE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

Verify at the official NPI Registry.