Upper Mattaponi Indian Tribe
Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
27 Commerce Ln, King William
Virginia, 23086
804-769-2015 Upper Mattaponi Indian Tribe is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in King William, Virginia. This organization is also known as sub part of Upper Mattaponi Indian Tribe. It is located at 27 Commerce Ln, King William and it's customer support contact number is 804-769-2015. The authorized person of Upper Mattaponi Indian Tribe is Steven Tupponce who is Ceo of the pharmacy and his contact number is 804-238-9922.
Upper Mattaponi Indian Tribe is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
Pharmacy Details:
Upper Mattaponi Indian Tribe type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Upper Mattaponi Indian Tribe |
| Type: | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
| Location: | 27 Commerce Ln, King William,
Virginia, 23086 |
| Phone: | 804-769-2015 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Steven Tupponce |
| Position: | Ceo |
| Contact Number: | 804-238-9922 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1144077470 |
| Parent Organization: | Upper Mattaponi Indian Tribe |
| NPI Enumeration Date: | 03 May, 2024 |
| NPI Last Update On: | 22 Jul, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Upper Mattaponi Indian Tribe are as mentioned below.
| Specialization | License Number | State | Status | |
| Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy | | | Primary | |
| Clinic Pharmacy | | | Secondary | |
| Community/Retail Pharmacy | | | Secondary | |
| Compounding Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 30015299710005 | Medicaid | Virginia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 27 Commerce Ln,
King William, Virginia |
| Zip: | 23086 |
| Phone Number: | -- |
Patients can reach Upper Mattaponi Indian Tribe at
27 Commerce Ln, King William, Virginia or can
call on customer care at 804-769-2015.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.