OrganizationActive
Jencare Neighborhood Medical South Park LLC
NPI 1134489214 · Non-Pharmacy Dispensing Site · Colonial Heights, VA
Provider details
- NPI number
- 1134489214
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Mary Chen, Authorized Official(305) 831-4722
Specialties & taxonomies
Suppliers
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Community/Retail Pharmacy3336C0003X
Suppliers
Practice location
524 Southpark Blvd
Colonial Heights, VA 23834-3609
Phone: (305) 653-1770
Approximate (ZIP-level) locationGet directions
Mailing address
1395 Nw 167th St
Miami, FL 33169-5710
Other names (DBA / former)
- Doing business as
- Jencare Neighborhood Medical Centers
- Doing business as
- Jencare Neighborhood Medical Centers
Registry dates
- Enumerated
- 2012-05-22
- Last updated
- 2025-02-20
- Certified
- 2025-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.