PENINSULA INSTITUTE FOR COMMUNITY HEALTH


Address: 1033 28th St, 2nd Floor, Newport News, VA 23607-4233
Phone: 7579520176

PENINSULA INSTITUTE FOR COMMUNITY HEALTH (NPI# 1366482382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366482382
Entity Type Organization
Organization Name PENINSULA INSTITUTE FOR COMMUNITY HEALTH
Other Organization Name PHARMACY CARE OF HAMPTON ROADS
Practice Address 1033 28th St
2nd Floor
Newport News
VA 23607-4233
Practice Telephone 7579520176
Practice Fax Number 7579520181
Mailing Telephone 7579520176
Mailing Fax Number 7579520181
Enumeration Date 2006-06-07
Last Update Date 2008-04-17
Authorized Official Name ANGELA FUTRELL (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 7575910643
Is Organization Subpart Y
Parent Organization Name PENINSULA INSTITUTE FOR COMMUNITY HEALTH

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0002X Pharmacy
Specialization: Clinic Pharmacy
Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
VA PHARMACY PERMIT 0201004012 01
VA DEA REGISTRATION NUMBER BP9712678 01

Other Provider/Organization Names

Other Name Type Code
Pharmacy Care of Hampton Roads Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1528446507 Peninsula Institute for Community Health Clinic/Center 300 Medical Dr, Hampton, VA 23666-1765 2015-05-11

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities PENINSULA INSTITUTE FOR COMMUNITY HEALTH INC. 1033 28th Street 2nd Floor, Newport News, Virginia 23607

Office Location

Street Address 1033 28TH ST
2ND FLOOR
City NEWPORT NEWS
State VA
Zip Code 23607-4233

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023088077 Peninsula Institute for Community Health Inc Clinic/Center 1033 28th St, 2nd Floor, Newport News, VA 23607-4233 2006-01-24
1134664790 Uzoamaka Christiana Agbasi Nurse Practitioner 1033 28th St, Newport News, VA 23607-4233 2017-01-05
1053744631 Iona Evelyn Walker Social Worker 1033 28th St, 2nd Floor, Newport News, VA 23607-4233 2013-08-19
1316100407 Fadi Nossair Pediatrics 1033 28th St, Newport News, VA 23607-4233 2008-07-08
1740458678 Peninsula Institute for Community Health Inc Clinic/Center 1033 28th St, Newport News, VA 23607-4233 2008-02-13
1962579946 Jermel Danon Ford Dentist 1033 28th St, Newport News, VA 23607-4233 2006-11-29

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 3336C0002X
Grouping Suppliers
Classification Pharmacy
Specialization Clinic Pharmacy

Taxonomy Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063590073 Peninsula Health Center Pharmacy Pharmacy 416 J Clyde Morris Blvd, Newport News, VA 23601 2006-11-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134769888 Mao Pharmacy, Inc. Pharmacy 3908 Nine Mile Rd Rm 518, Richmond, VA 23223-4913 2020-01-10
1083132450 Kuumba Community Health & Wellness Center, Inc. Pharmacy 3716 Melrose Ave Nw Suite 130, Roanoke, VA 24017 2017-09-06
1518286863 American Maritime Holdings Inc Pharmacy 816 Industrial Ave, Suite 100, Chesapeake, VA 23324-2615 2010-05-26
1174745616 Virginia Commonweatlh University Student Health Pharmacy Pharmacy 1300 W. Broad Street, Suite 2200, Richmond, VA 23284 2007-05-03
1629160767 Chesterfield County Department of Health Pharmacy 9501 Lucy Corr Cr, Chesterfield, VA 23832-0002 2006-09-28
1073548160 Director of Finance-county of Fairfax Va Pharmacy 3750 Old Lee Highway, Fairfax, VA 22030-6903 2006-07-11
1124641410 Comprehensive Hand Surgery Center Pharmacy 2819 N Parham Rd Ste 100, Richmond, VA 23294-4425 2020-05-21
1467975565 Tds Health Pharmacy 4215 Dale Blvd, Woodbridge, VA 22193-2243 2017-07-20
1275069122 Harrisonburg Rockingham Free Clinic Pharmacy 25 W Water St, Harrisonburg, VA 22801-3624 2017-05-11
1427582352 Olivet Medical Ministry, Inc Pharmacy 1620 Old Williamsburg Rd, Yorktown, VA 23690-3910 2017-04-18
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Competitor

Search similar providers

City NEWPORT NEWS
Zip Code 23607

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Dataset Information

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.

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