NPIMap

Organization Active NPI

Eastern State Hospital

  • Pharmacy
  • Williamsburg, VA
National Provider Identifier
1861490344
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
0201001059 Issued in VA
Legal business name
EASTERN STATE HOSPITAL
Practice address
4601 Ironbound Rd
Pharmacy Box 8791
Williamsburg, VA 23188-2648
Phone
(757) 253-5327
NPI assigned
Jul 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Kimberlyn W Griswold, RPH
Title
Pharmacy Director / Manager
Phone
(757) 253-5327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 0201001059 VA Primary

Addresses

Primary practice location

4601 Ironbound Rd
Pharmacy Box 8791
Williamsburg, VA 23188-2648

Mailing address

4601 Ironbound Rd
Pharmacy Box 8791
Williamsburg, VA 23188-2648
Phone (757) 253-5327

National Provider Directory

National Provider Directory
Tax ID family
Commonwealth of Virgini5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

4601 Ironbound Rd
#8791
Williamsburg, VA 23188
Phone (757) 253-5244

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861490344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 IRONBOUND RD",
            "address_2": "PHARMACY BOX 8791",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882648",
            "telephone_number": "757-253-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 IRONBOUND RD",
            "address_2": "PHARMACY BOX 8791",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882648",
            "telephone_number": "757-253-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN STATE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRISWOLD",
        "authorized_official_first_name": "KIMBERLYN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR / MANAGER",
        "authorized_official_telephone_number": "757-253-5327",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0201001059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.