Active NPI
Jeanne K Newcomb, RPH
- Pharmacist
- Clarksville, VA
National Provider Identifier
1851996227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202009099
- Practice address
- 1013 Virginia Ave
Clarksville, VA 23927-9040 - Phone
- (434) 374-5620
- NPI assigned
- Dec 2, 2020
- Last updated
- Dec 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202009099 | VA | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- 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 |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1851996227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5559 BARNESVILLE HWY",
"city": "RED OAK",
"state": "VA",
"postal_code": "239645117",
"telephone_number": "434-579-4052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 VIRGINIA AVE",
"city": "CLARKSVILLE",
"state": "VA",
"postal_code": "239279040",
"telephone_number": "434-374-5620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWCOMB",
"first_name": "JEANNE",
"middle_name": "K",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-02",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202009099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.