CMM Enterprises LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201004658 Issued in VA

Legal business name

CMM ENTERPRISES LLC

Practice address

5839 Harbour View Blvd Ste 102
Suffolk, VA 23435-2657

Phone

(757) 394-1870

Fax

(757) 394-1873

NPI assigned

Mar 10, 2015

Organization subpart

No

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

Authorized official

Name

Ignatius Combrink

Title

Owner, Pic, Ao

Phone

(757) 394-1870

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Harbour View Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sonal McPhee, RPH

  • Pharmacist
  • Suffolk, VA
  • NPI 1538414750
  NPD (past)
• Bhrantiben Patel

  • Pharmacist
  • Suffolk, VA
  • NPI 1396202735
  NPD (past)

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1871986240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 WATERS EDGE LN",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352857",
            "telephone_number": "757-287-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5839 HARBOUR VIEW BLVD STE 102",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352657",
            "telephone_number": "757-394-1870",
            "fax_number": "757-394-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMM ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "COMBRINK",
        "authorized_official_first_name": "IGNATIUS",
        "authorized_official_title_or_position": "OWNER, PIC, AO",
        "authorized_official_telephone_number": "757-394-1870"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004658",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150813",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871986240",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbour View Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abigail F Cleary, PT, DPT
• Bree Clemmons, M.ED, ATC, LAT
• Scott Andrew Clingan, P.A.-C
• Clinical Services, LLC
• CMJ Positive Change LLC
• Coastal Care Transport LLC
• Amanda Cobb, M.S., SLP-CF
• Morgan H Cobb, LPC
• Joy Marie Cocchiola, DMD
• Patricia Cody, LPC

• Community/Retail Pharmacy in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.