Active NPI
Bradley Frank Progar
- Pharmacist
- Hampton, VA
National Provider Identifier
1083912380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202009766
- Practice address
- 227 Fox Hill Rd # 2
Hampton, VA 23669-1739 - Phone
- (757) 851-0660
- NPI assigned
- Mar 10, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 0202009766 | VA | Primary |
Addresses
Primary practice location
227 Fox Hill Rd # 2
Hampton, VA 23669-1739
Mailing address
206 Jessica Dr
Yorktown, VA 23693-1911
Phone (757) 867-7710
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 |
|---|---|---|---|
| 0202009766 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299715200000",
"number": "1083912380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 JESSICA DR",
"city": "YORKTOWN",
"state": "VA",
"postal_code": "236931911",
"telephone_number": "757-867-7710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 FOX HILL RD # 2",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236691739",
"telephone_number": "757-851-0660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROGAR",
"first_name": "BRADLEY",
"middle_name": "FRANK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-10",
"last_updated": "2011-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202009766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.