Peninsula Pharmacy Services

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Legal business name

PENINSULA PHARMACY SERVICES

Practice address

11833 Canon Blvd
Ste 114
Newport News, VA 23606-2589

Phone

(757) 594-3944

Fax

(757) 594-3950

NPI assigned

Nov 16, 2006

Last updated

Mar 25, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Dickens

Title

Billing Manager

Phone

(757) 594-3944

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Peninsula Pharmacy Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Peninsula Pharmacy Services LLC

  • Home Infusion Agency
  • Newport News, VA
  • NPI 1558359877
  NPD tax ID

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1861565855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11833 CANON BLVD",
            "address_2": "STE 114",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062589",
            "telephone_number": "757-594-3944",
            "fax_number": "757-594-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11833 CANON BLVD",
            "address_2": "STE 114",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062589",
            "telephone_number": "757-594-3944",
            "fax_number": "757-594-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA PHARMACY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "DICKENS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "757-594-3944",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010143349",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peninsula Pathology Associates Incorporated
• Peninsula Pathology Associates of Virginia PLLC
• Peninsula Pediatric Dentistry, P.C.
• Peninsula Pediatric Psychiatry
• Peninsula Pediatrics LTD
• Peninsula Pharmacy Services LLC
• Peninsula Pulmonary Associates PC
• Peninsula Radiological Associates Limited
• Peninsula Surgery Center LLC (Peninsula Surgery Center)
• Peninsula Therapy Center, PLC

• Parenteral & Enteral Nutrition Supplies (DME) in Newport News, VA
• Providers in Newport News, VA by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.