Jeanne K Newcomb, RPH
Individual provider Active NPI Pharmacist · Clarksville, VA
NPI 1851996227 · NPPES record last updated Dec 2, 2020
Key facts
- NPI
- 1851996227
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0202009099 (VA)
- Practice address
- 1013 Virginia Ave
Clarksville, VA 23927-9040 - Phone
- (434) 374-5620
- NPI assigned
- Dec 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202009099 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Food Lion LLC | Past |
Accepting new patients | |
| Food Lion, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202009099 | VA | Yes |
Addresses
Primary practice location
1013 Virginia Ave
Clarksville, VA 23927-9040
Mailing address
5559 Barnesville Hwy
Red Oak, VA 23964-5117
Phone (434) 579-4052
Other providers in Clarksville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.