Active NPI
Teressa A Anthony
- Pharmacist
- Virginia Beach, VA
National Provider Identifier
1083747034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202011697
- Practice address
- 6095 Indian River Rd
Suite 201
Virginia Beach, VA 23464-3818 - Phone
- (757) 420-7921
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202011697 | VA | Primary |
Addresses
Primary practice location
6095 Indian River Rd
Suite 201
Virginia Beach, VA 23464-3818
Mailing address
704 Stratford St
Portsmouth, VA 23701-4125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0202011697 | Other | VA | PHARM LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202011697 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083747034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 STRATFORD ST",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237014125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6095 INDIAN RIVER RD",
"address_2": "SUITE 201",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234643818",
"telephone_number": "757-420-7921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTHONY",
"first_name": "TERESSA",
"middle_name": "A",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202011697",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARM LICENSE",
"identifier": "0202011697",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.