Southpeake Enterprises, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SOUTHPEAKE ENTERPRISES, INC.

Doing business as

Newman Family Pharmacy

Practice address

800 Battlefield Blvd S
Suite 105
Chesapeake, VA 23322-6670

Phone

(757) 793-1612

NPI assigned

Dec 16, 2012

Organization subpart

Yes

Parent organization

SOUTHPEAKE ENTERPRISES, INC.As reported in NPPES

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

Authorized official

Name

Dr. Michael Newman

Title

President

Phone

(757) 793-1612

Specialties & licenses 1

Addresses

Other names 1

• Newman Family Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Part of

Southpeake Enterprises Inc

Locations

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

{
    "created_epoch": "1355616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355616000000",
    "number": "1962748194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 AVONLEA DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233224249",
            "telephone_number": "757-793-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BATTLEFIELD BLVD S",
            "address_2": "SUITE 105",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233226670",
            "telephone_number": "757-793-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHPEAKE ENTERPRISES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHPEAKE ENTERPRISES, INC.",
        "enumeration_date": "2012-12-16",
        "last_updated": "2012-12-16",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-793-1612",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newman Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Chesapeake, VA
• Providers in Chesapeake, 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 Dec 16, 2012; 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.