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Upper Mattaponi Indian Tribe — NPI 1144077470, King William, VA | NPI Central

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NPI 1144077470

OrganizationActive

Upper Mattaponi Indian Tribe

NPI 1144077470 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · King William, VA

Provider details

NPI number: 1144077470
Entity type: Organization
Primary specialty: Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
Parent organization: Upper Mattaponi Indian Tribe
Organization subpart: Yes
Authorized official: Steven Tupponce, Ceo(804) 238-9922

Specialties & taxonomies

Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyPrimary332800000X
Suppliers
Clinic Pharmacy3336C0002X
Suppliers
Community/Retail Pharmacy3336C0003X
Suppliers
Compounding Pharmacy3336C0004X
Suppliers

Practice location

27 Commerce Ln

King William, VA 23086

Phone: (804) 769-2015

Approximate (ZIP-level) locationGet directions

More VA providers

Mailing address

27 Commerce Ln

King William, VA 23086

Other names (DBA / former)

Doing business as: Umt Pharmacy
Doing business as: Umt Pharmacy

Registry dates

Enumerated: 2024-05-03
Last updated: 2025-07-22
Certified: 2025-07-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.