Southern Dominion Health System Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SOUTHERN DOMINION HEALTH SYSTEM INC

Practice address

59 Gold Hill Elementary School Rd Ste B
New Canton, VA 23123-2162

Phone

(434) 696-2165

Fax

(434) 696-1557

NPI assigned

Nov 4, 2025

Organization subpart

No

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

Authorized official

Name

April King

Title

Ceo

Phone

(434) 696-2165

Specialties & licenses 1

Addresses

Other names 1

• SDHS Community Pharmacy Doing business as

Tax ID family

Lunenburg Medical Cente4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Southern Dominion Health System, Inc.

  • Federally Qualified Health Center (FQHC)
  • Dinwiddie, VA
  • NPI 1124310446
  NPD tax ID
• Southern Dominion Health System, Inc.

  • Federally Qualified Health Center (FQHC)
  • Victoria, VA
  • NPI 1396995940
  NPD tax ID
• Southern Dominion Health System, Inc.

  • Federally Qualified Health Center (FQHC)
  • Emporia, VA
  • NPI 1982817706
  NPD tax ID

Locations

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

{
    "created_epoch": "1762214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1861361172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "VICTORIA",
            "state": "VA",
            "postal_code": "239740070",
            "telephone_number": "434-696-2165",
            "fax_number": "434-696-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 GOLD HILL ELEMENTARY SCHOOL RD STE B",
            "city": "NEW CANTON",
            "state": "VA",
            "postal_code": "231232162",
            "telephone_number": "434-696-2165",
            "fax_number": "434-696-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN DOMINION HEALTH SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-04",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "434-696-2165"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SDHS Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suzanne McConnell Paul, NP
• Peninsula Institute for Community Health Inc
• Audrey Pleasants, PA-C
• Charles Arthur Rula, M.D.
• Vidyullatha Shivaram, MD
• Hellen Streicher, PHD
• Chelsea M Tomko, CPHT
• Maryanne D Williams, MD

• All providers in New Canton, VA
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.