MONACAN HEALTH CENTER TRIBAL PHARMACY
NPI 1003500240
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Madison Heights, VA

Q: What is Indian Health Service Richmond Service Unit's specialty?

The primary specialty registered for this NPI is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.

Active since June 08, 2023CLIA 49D2291754 · Waiver

108 DIXIE AIRPORT RD., MADISON HEIGHTS, VA 24572(804) 622-0011(804) 622-0010 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Monacan Health Center Tribal Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONACAN HEALTH CENTER TRIBAL PHARMACY (NPI 1003500240) is a healthcare organization registered as an indian health service/tribal/urban indian health (i/t/u) pharmacy in Madison Heights, Virginia and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through October 15, 2027 and lists Remedios Dee Holmes, Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1003500240

Entity TypeOrganization

Primary Taxonomy332800000X

Legal Business NameINDIAN HEALTH SERVICE RICHMOND SERVICE UNIT

Location Address108 DIXIE AIRPORT RD.Madison Heights, VA 24572-5973

Mailing Address108 Dixie Airport Rd.Madison Heights, VA 24572-5973 · (804) 622-0011 · Fax (804) 622-0010

Phone(804) 622-0011

Fax(804) 622-0010

Organization SubpartYesParent: Mid-atlantic Tribal Health Center Pharmacy

Authorized OfficialRemedios Dee HolmesAdministrative Officer · (804) 622-0011

Enumeration DateJune 8, 2023

Last NPPES UpdateMarch 20, 2024

NPPES CertifiedMarch 18, 2024

✔ NPI 1003500240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers

Taxonomy Code332800000X

Definition

An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.

108 DIXIE AIRPORT RD., Madison Heights, VA 24572

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Other Names 1

Doing Business AsMonacan Health Center Tribal Pharmacy

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2291754

Monacan Health Center · Madison Heights, VA

Active · expires Oct 15, 2027

CLIA Number49D2291754

Laboratory TypeHhs, Phs, Ihs Hlth Clinic

Certificate Effective DateOctober 16, 2025

Certificate Expiration DateOctober 15, 2027

Laboratory DirectorJuantina Johnson

Laboratory Phone(804) 622-0011

Laboratory LocationMonacan Health Center108 Dixie Airport Rd, Madison Heights, VA 24572

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INDIAN HEALTH SERVICE RICHMOND SERVICE UNIT

Clinic/Center

108 DIXIE AIRPORT RD.
MADISON HEIGHTS, VA 24572

Amherst County (804) 622-0011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Indian Health Service Richmond Service Unit's NPI number?

The NPI number for Indian Health Service Richmond Service Unit is 1003500240. It was assigned to this organization in the NPPES registry on June 8, 2023. The provider is doing business as Monacan Health Center Tribal Pharmacy.

Where is Indian Health Service Richmond Service Unit located?

Indian Health Service Richmond Service Unit is located at 108 Dixie Airport Rd., Madison Heights, VA 24572. The listed phone number is (804) 622-0011.

What is Indian Health Service Richmond Service Unit's specialty?

The primary specialty registered for this NPI is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.

Does Indian Health Service Richmond Service Unit hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2291754) is associated with this NPI, valid through October 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Indian Health Service Richmond Service Unit was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.