SUBURBAN PHARMACY INC (NPI# 1073676698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073676698 |
| Entity Type | Organization |
| Organization Name | SUBURBAN PHARMACY INC |
| Other Organization Name | SUBURBAN PHARMACY |
| Practice Address |
3701 King St Portsmouth VA 23707-3115 |
| Practice Telephone | 7573972377 |
| Practice Fax Number | 7573992013 |
| Mailing Telephone | 7573972377 |
| Mailing Fax Number | 7573992013 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2015-01-27 |
| Authorized Official Name | SUNIL KANDREGULA (MANAGER) |
| Authorized Official Telephone | 7573972377 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0201002490 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2149751 | 01 |
| Other Name | Type Code |
|---|---|
| suburban pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245373307 | Suburban Pharmacy Inc | Pharmacy | 242 Pawtuxet Ave, Warwick, RI 02888-1933 | 2007-02-15 |
| Street Address |
3701 KING ST |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23707-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871588038 | David W Stephenson | Pharmacist | 3701 King St, Portsmouth, VA 23707-3115 | 2005-09-14 |
| 1386898179 | Stephanie Stephenson Brown | Pharmacist | 3701 King St, Portsmouth, VA 23707-3115 | 2008-11-06 |
| 1871708271 | Holly Anne Temme | Pharmacist | 3701 King St, Portsmouth, VA 23707-3115 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508410382 | Ricky Lee Key Sr. | Counselor | Kaleidoscope Counseling and Case Management, 1712 Airline Blvd, Portsmouth, VA 23707 | 2019-07-30 |
| 1528627965 | Amy M Baker | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f Portsmouth Family Medicine, Portsmouth, VA 23707 | 2019-06-10 |
| 1033774625 | Himani Bhasin | Student in an Organized Health Care Education/Training Program | 3640 High Street (suite 2f), Evms Family Medicine - Portsmouth Program, Portsmouth, VA 23707 | 2019-05-08 |
| 1851854442 | Emma Daymond | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f, Portsmouth, VA 23707 | 2019-04-10 |
| 1407329543 | Heart Harmony Home Health and Services | Home Health | 505 Cumberland Street, Suite 2, Portsmouth, VA 23707 | 2019-01-10 |
| 1548780869 | A. Richards Counseling & Psychotherapy, LLC | Substance Abuse Rehabilitation Facility | 720 Rodman Ave., Portsmouth, VA 23707 | 2017-06-27 |
| 1316485196 | Melinda Macy | Occupational Therapy Assistant | 314 Florida Ave, Portsmouth, VA 23707 | 2017-02-01 |
| 1831526045 | Anointed and Blessed Home Health Care, LLC | Home Health | 806 Loudoun Ave, Portsmouth, VA 23707 | 2013-10-02 |
| 1639236284 | The Center for Pain Management | Clinic/Center | 3315 High Street, Portsmouth, VA 23707 | 2007-01-02 |
| 1750444741 | Wal-mart Stores East, Lp | Technician/Technologist | 1098 Fredrick Blvd, Portsmouth, VA 23707 | 2006-12-19 |
| Find all providers in zip 23707 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659761914 | Premier Compounding Center LLC | Pharmacy | 137 Chase Rd, Portsmouth, RI 02871-3243 | 2015-01-26 |
| 1003241332 | Scioto County Counseling Center | Pharmacy | 923 Finley Street, Portsmouth, OH 45662 | 2013-09-05 |
| 1881968345 | Harris Teeter, LLC | Pharmacy | 3249 Tyre Neck Rd, Portsmouth, VA 23703-3328 | 2012-03-01 |
| 1962585224 | Cvs Manchester Nh, L.L.C. | Pharmacy | 674 Islington St, Portsmouth, NH 03801-4216 | 2006-10-23 |
| 1548275597 | Walgreen Co | Pharmacy | 5917 High St W, Portsmouth, VA 23703-4505 | 2006-07-29 |
| 1093720039 | Walgreen Co | Pharmacy | 700 Frederick Blvd, Portsmouth, VA 23707-3314 | 2006-07-29 |
| 1154845352 | Compass Community Health | Pharmacy | 1634 11th St, Portsmouth, OH 45662-4526 | 2017-07-29 |
| 1144648692 | Bbd Pharm Inc | Pharmacy | 1865 Coles Blvd, Portsmouth, OH 45662-2643 | 2014-04-02 |
| 1801230263 | Ashland Hospital Corporation | Pharmacy | 1901 Argonne Road, Portsmouth, OH 45662 | 2013-04-29 |
| 1790055945 | Walgreens | Pharmacy | 700 Frederick Blvd, Portsmouth, VA 23707-3314 | 2012-01-05 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 23707 |
Please comment or provide details below to improve the information on SUBURBAN PHARMACY INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.