THE COMMUNITY FREE CLINIC OF NEWPORT NEWS (NPI# 1265843833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265843833 |
| Entity Type | Organization |
| Organization Name | THE COMMUNITY FREE CLINIC OF NEWPORT NEWS |
| Other Organization Name | THE COMMUNITY FREE CLINIC OF NEWPORT NEWS |
| Practice Address |
727 25th St Newport News VA 23607-4601 |
| Practice Telephone | 7575944060 |
| Practice Fax Number | 7575944257 |
| Mailing Telephone | 7575944060 |
| Mailing Fax Number | 7575944257 |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2014-05-16 |
| Authorized Official Name | BRIAN LOGUE (PHARMACIST) |
| Authorized Official Telephone | 7578766060 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0201004399 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2145725 | 01 |
| Other Name | Type Code |
|---|---|
| The Community Free Clinic of Newport News | Doing Business As Name - Organization |
| Street Address |
727 25TH ST |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23607-4601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376879460 | Cheryl Bradley Reeser | Nurse Practitioner | 727 25th St, Newport News, VA 23607-4601 | 2009-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649766296 | Mahmud Kandeel | Ambulance | 4710 Marshall Ave, Newport News, VA 23607 | 2018-07-06 |
| 1285133868 | Astrid Home Care Services, LLC | Home Health | 1024 34th St, Newport News, VA 23607 | 2018-02-08 |
| 1891293551 | Gcartransportation L.l.c | Taxi | 4214 Jeffeson Ave, Newport News, VA 23607 | 2018-01-29 |
| 1992235501 | Antuane Dewayne Lomax | Taxi | 1310 39th Street, Newport News, VA 23607 | 2017-06-15 |
| 1598205957 | Hasssan Elmi Ali | Taxi | 4214 Jefferson Ave, Newport New, VA 23607 | 2017-03-06 |
| 1790221802 | Ta Mara's Promise, LLC | Counselor | 2601 West Ave, Ste: 201, Newport, VA 23607 | 2017-01-12 |
| 1437478906 | Constance None Griffin | Contractor | 2905 Chestnut Avenue, Newport News, VA 23607 | 2010-05-24 |
| 1093048076 | Shelley Ann Brown | Technician | 634 44th Street, Newport, VA 23607 | 2009-09-09 |
| 1689808792 | Melissa Ellen Nazareth | Dentist | 2704 Chestnut Avenue, Newport News, VA 23607 | 2009-05-05 |
| 1740422237 | David Raymond Ditman | Military Health Care Provider | Uss California (ssn 781), Supervisor of Shipbuilding, Conversion& Repair, Usn, Newport News, VA 23607 | 2009-03-30 |
| Find all providers in zip 23607 | ||||
| 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 |
|---|---|---|---|---|
| 1386988715 | Wal-mart Stores East Lp | Pharmacy | 11214 Jefferson Ave, Newport News, VA 23601-2207 | 2012-11-26 |
| 1558474221 | Harris Teeter, LLC | Pharmacy | 12404 Warwick Blvd, Newport News, VA 23606-3007 | 2006-08-16 |
| 1487661419 | Walgreen Co | Pharmacy | 12750 Jefferson Ave, Newport News, VA 23602-4318 | 2006-08-02 |
| 1497760029 | Denbigh Drugs, LLC | Pharmacy | 13349 Warwick Blvd, Newport News, VA 23602 | 2006-07-30 |
| 1386659332 | Walgreen Co | Pharmacy | 9976 Jefferson Ave, Newport News, VA 23605-1057 | 2006-07-29 |
| 1104848886 | Virginia Cvs Pharmacy LLC | Pharmacy | 12130 Jefferson Ave, Newport News, VA 23602-6908 | 2006-07-24 |
| 1750917126 | Virginia Oncology Associates | Pharmacy | 1051 Loftis Blvd Ste 100, Newport News, VA 23606-3069 | 2020-03-18 |
| 1578999009 | Riverside Hospital, Inc | Pharmacy | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2013-09-16 |
| 1144564782 | Wal-mart Stores East Lp | Pharmacy | 6111 Jefferson Ave, Newport News, VA 23605-1511 | 2012-11-20 |
| 1336259969 | Costco Wholesale Corporation | Pharmacy | 12121 Jefferson Ave, Newport News, VA 23602 | 2006-08-30 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23607 |
Please comment or provide details below to improve the information on THE COMMUNITY FREE CLINIC OF NEWPORT NEWS.
| 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.