Provider Demographics
NPI:1922809540
Name:FISHING POINT HEALTHCARE PHARMACY #002
Entity type:Organization
Organization Name:FISHING POINT HEALTHCARE PHARMACY #002
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:PIGFORD
Authorized Official - Suffix:II
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:757-287-5145
Mailing Address - Street 1:2315 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23607-4509
Mailing Address - Country:US
Mailing Address - Phone:757-586-5552
Mailing Address - Fax:757-586-5558
Practice Address - Street 1:2315 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23607-4509
Practice Address - Country:US
Practice Address - Phone:757-586-5552
Practice Address - Fax:757-586-5558
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FISHING POINT HEALTHCARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332800000XSuppliersIndian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy