PENINSULA PHARMACY SERVICES NPI 1861565855

NPI Information

  • NPI: 1861565855
  • Provider Name: PENINSULA PHARMACY SERVICES
  • Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
  • Specialization: Parenteral & Enteral Nutrition
  • Entity Type: Organization
  • Address: 11833 CANON BLVD
    STE 114
    NEWPORT NEWS, VA
    ZIP 23606
  • Phone: (757) 594-3944

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NPI Details

PENINSULA PHARMACY SERVICES is a parenteral and enteral nutrition durable medical equipment medical supplies in Newport News, VA. PENINSULA PHARMACY SERVICES NPI is 1861565855. The provider is registered as an organization entity type.

The provider's business location address is:

11833 CANON BLVD
STE 114
NEWPORT NEWS, VA
ZIP 23606-589
Phone: (757) 594-3944
Fax: (757) 594-3950

The provider's authorized official is Angela Dickens .
The authorized official title is Billing Manager and has the following contact phone number (757) 594-3944.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 3/25/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1010143349MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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