Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Upper Mattaponi Indian Tribe

Organization Community/Retail Pharmacy · NPI 1952239048

Upper Mattaponi Indian Tribe is a Community/Retail Pharmacy in Gloucester, Virginia. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

7453 Hargett Blvd
Gloucester, VA 23061-2038
Phone: (804) 694-3999
Fax: (800) 853-2692
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1952239048
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly McQueen — Director Of Credentialing And Compl · (804) 535-0145
NPI enumeratedMay 11, 2026
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026
Mailing address7453 Hargett Blvd, Gloucester, VA 23061-2038