Healthcare Provider Details

I. General information

NPI: 1013827526
Provider Name (Legal Business Name): ASM PHARMACY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

416 DENBIGH BLVD UNIT 111
NEWPORT NEWS VA
23608-3840
US

IV. Provider business mailing address

416 DENBIGH BLVD UNIT 111
NEWPORT NEWS VA
23608-3840
US

V. Phone/Fax

Practice location:
  • Phone: 948-867-1940
  • Fax:
Mailing address:
  • Phone: 948-867-1940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: KRYSTAL LINLEY
Title or Position: PHARMACY SUPPORT MANAGER
Credential:
Phone: 754-218-5268