MR. THERON POWELL (NPI# 1669610473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669610473 |
| Entity Type | Individual |
| Full Name | MR. THERON POWELL |
| Practice Address |
3328 Fontaine Ln Glen Allen VA 23060-1924 |
| Practice Telephone | 8043476944 |
| Mailing Telephone | 8043476944 |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2009-02-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
3328 FONTAINE LN |
| City | GLEN ALLEN |
| State | VA |
| Zip Code | 23060-1924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205469715 | Romy Sharieff | Midwife | 10433 Mountain Glen Pkwy, Glen Allen, VA 23060 | 2020-02-13 |
| 1366934549 | Guillermo Del Campo | Optometrist | 4114 Innslake Drive, Glen Allen, VA 23060 | 2018-06-04 |
| 1871013771 | Wecare Medical Transportation Inc. | Driver | 10524 Boscastle Rd, Glen Allen, VA 23060 | 2017-06-21 |
| 1265889570 | Darchelle Braxton Dmd PC | Dentist | 4300 Pouncey Tract Road Suite I, Glen Allen, VA 23060 | 2016-05-17 |
| 1952714842 | Gaynier Orthodontics PC | Clinic/Center | 4701 Cox Rx Ste 285, C/o Ct Corporation, Glen Allen, VA 23060 | 2014-06-09 |
| 1538507819 | Rca Laboratory Services, LLC | Clinical Medical Laboratory | 4060 Innslake Dr, Glen Allen, VA 23060 | 2013-06-10 |
| 1922352772 | Samantha S Stone | Physical Therapist | 4101 Cox Rd Ste 100, Glen Allen, VA 23060 | 2012-11-01 |
| 1609123660 | Stephanie Rene Matsko | Optometrist | 4114 Innslake Dr., Glen Allen, VA 23060 | 2012-08-09 |
| 1851661367 | Lateaka Sheri Vinson | Speech-Language Pathologist | 2250 Old Brick Rd, Suite 2229, Glen Allen, VA 23060 | 2012-01-01 |
| 1568774271 | Cynthia A Koza | Optometrist | 4600 Cox Road, Suite 120, Glen Allen, VA 23060 | 2010-07-10 |
| Find all providers in zip 23060 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831638915 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 5400 Wyndham Forest Dr, Glen Allen, VA 23059-5942 | 2017-02-22 |
| 1114318458 | S&tspecialties, LLC | Durable Medical Equipment & Medical Supplies | 3814 Fish Pond Ln, Glen Allen, VA 23060-5980 | 2015-02-09 |
| 1720498926 | Medicare Advantage Tech LLC | Durable Medical Equipment & Medical Supplies | 4821 Shady Grove Rd, Glen Allen, VA 23059-6004 | 2014-04-28 |
| 1558635755 | Infusion Prn LLC | Durable Medical Equipment & Medical Supplies | 4953 Cox Rd, Glen Allen, VA 23060-6296 | 2012-03-06 |
| 1386716769 | Varamp, LLC | Durable Medical Equipment & Medical Supplies | 12244 Country Creek Way, Glen Allen, VA 23059-5328 | 2006-11-14 |
| 1174621650 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 10901 W Broad St, Glen Allen, VA 23060-5935 | 2006-09-20 |
| 1689778359 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 11271 Nuckols Rd, Glen Allen, VA 23059-5502 | 2006-09-12 |
| 1467467415 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 11300 Nuckols Rd, Glen Allen, VA 23059-5503 | 2006-07-29 |
| 1518989292 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 10100 Brook Rd, Glen Allen, VA 23059-6514 | 2006-07-24 |
| 1154343838 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 11290 W Broad St, Glen Allen, VA 23060-5815 | 2006-07-24 |
| Find all providers in GLEN ALLEN | ||||
| City | GLEN ALLEN |
| Zip Code | 23060 |
Please comment or provide details below to improve the information on MR. THERON POWELL.
| 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.