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EASTERN STATE HOSPITAL
NPI 1861490344
Pharmacy in Williamsburg, VA

Active since July 08, 2005CLIA 49D0910373 · Waiver
4601 IRONBOUND RD, PHARMACY BOX 8791, WILLIAMSBURG, VA 23188(757) 253-5327 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eastern State Hospital NPPES

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

EASTERN STATE HOSPITAL (NPI 1861490344) is a healthcare organization registered as a pharmacy in Williamsburg, Virginia and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through January 4, 2028 and lists Kimberlyn W Griswold, Pharmacy Director / Manager, as its authorized official.

NPPES Registry Identity

NPI1861490344
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameEASTERN STATE HOSPITAL
Location Address4601 IRONBOUND RD, PHARMACY BOX 8791Williamsburg, VA 23188-2648
Mailing Address4601 Ironbound Rd, Pharmacy Box 8791Williamsburg, VA 23188-2648 · (757) 253-5327
Phone(757) 253-5327
Organization SubpartNo
Authorized OfficialKimberlyn W GriswoldPharmacy Director / Manager · (757) 253-5327
Enumeration DateJuly 8, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1861490344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in VA · 0201001059
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
4601 IRONBOUND RD, Williamsburg, VA 23188
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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 49D0910373

Eastern State Hospital · Williamsburg, VA
Active · expires Jan 4, 2028
CLIA Number49D0910373
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJanuary 5, 2026
Certificate Expiration DateJanuary 4, 2028
Laboratory DirectorCharmaine Vassar-Bell
Laboratory Phone(757) 208-7348
Laboratory LocationEastern State Hospital4601 Ironbound Road, Attn Charmaine Bell Labortory Building 2, Williamsburg, VA 23187
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MRS. LORABEL FEROLIN LAUREL CPHT
Pharmacist (Psychiatric)
4601 IRONBOUND RD, EASTERN STATE HOSPITAL
WILLIAMSBURG, VA 23188
James City County (757) 253-5327
COMMONWEALTH OF VIRGINIA DEPARTMENT OF BEHAVI
Assisted Living Facility (Assisted Living, Mental Illness)
4601 IRONBOUND RD
WILLIAMSBURG, VA 23188
James City County (757) 253-5241
JULIE ANDREWS
Nurse Practitioner (Psychiatric/Mental Health)
4601 IRONBOUND RD
WILLIAMSBURG, VA 23188
James City County (757) 253-5161
MRS. LAURA LYNN BURCHAM PHARMACY TECHNICIAN
Pharmacy Technician
4601 IRONBOUND RD, EASTERN STATE HOSPITAL
WILLIAMSBURG, VA 23188
James City County (757) 253-5327
DR. BRITTANY BAK PSY.D.
Psychologist (Forensic)
4601 IRONBOUND RD
WILLIAMSBURG, VA 23188
James City County (757) 208-7668
EASTERN STATE HOSPITAL
Psychiatric Hospital
4601 IRONBOUND RD
WILLIAMSBURG, VA 23188
James City County (757) 253-4309
SHINY KAITHAKUZHIYIL CHACKO
Registered Nurse (Psychiatric/Mental Health, Adult)
4601 IRONBOUND RD
WILLIAMSBURG, VA 23188
James City County (757) 253-5161
LAURA GROSSI PH.D.
Psychologist
4601 IRONBOUND RD
WILLIAMSBURG, VA 23188
James City County (757) 253-5161

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 Eastern State Hospital's NPI number?

The NPI number for Eastern State Hospital is 1861490344. It was assigned to this organization in the NPPES registry on July 8, 2005.

Where is Eastern State Hospital located?

Eastern State Hospital is located at 4601 Ironbound Rd Pharmacy Box 8791, Williamsburg, VA 23188. The listed phone number is (757) 253-5327.

What is Eastern State Hospital's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Eastern State Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0910373) is associated with this NPI, valid through January 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eastern State Hospital was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.