Center for Medication Therapy Management & Outcomes Research

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

0201004569 Issued in VA

Legal business name

CENTER FOR MEDICATION THERAPY MANAGEMENT & OUTCOMES RESEARCH

Practice address

19 Indian Rd
Pharmacy Annex
Hampton, VA 23669-5420

Phone

(757) 727-5000

Fax

(757) 727-5840

NPI assigned

Apr 28, 2014

Last updated

Apr 28, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

HAMPTON UNIVERSITYAs reported in NPPES

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

Authorized official

Name

Dr. David Ombengi, PHARM.D., MBA, MPH

Title

Assistant Professor/Director

Phone

(757) 727-5455

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Alvin Bryant MD2 organizations share this tax ID, including this one

Part of

Alvin Bryant MD

Other organizations with this tax ID 1

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

• Hampton University Health Center

  • Family Nurse Practitioner
  • Hampton, VA
  • NPI 1154576759
  NPD tax ID

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1891115028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 INDIAN RD",
            "address_2": "PHARMACY ANNEX",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236690001",
            "telephone_number": "757-727-5000",
            "fax_number": "757-727-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 INDIAN RD",
            "address_2": "PHARMACY ANNEX",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236695420",
            "telephone_number": "757-727-5000",
            "fax_number": "757-727-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR MEDICATION THERAPY MANAGEMENT & OUTCOMES RESEARCH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAMPTON UNIVERSITY",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "OMBENGI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ASSISTANT PROFESSOR/DIRECTOR",
        "authorized_official_telephone_number": "757-727-5455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D., MBA, MPH"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "0201004569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD PRACTICE LICENCE (PHARMACY)",
            "identifier": "0201004569",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fiorina Linda Cavo, M.S.
• Jonathan Greer Cawthon, LPC
• Bekim Cela, DMD
• Celestial Counseling
• Center for Child and Family Services
• Center for Seeking Peace, PLLC
• Centerwell Senior Primary Care VA PLLC (CenterWell Senior Primary Care-Hampton)
• Cerebral Thinking Therapeutic Services PLLC
• Certified Home Care Agency LLC
• Dianne E Cesvette, RN

• Clinic/Center in Hampton, VA
• Providers in Hampton, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.