Courtney Elizabeth Councill, PHARMD
Individual provider Active NPI Pharmacist · Franklin, VA
NPI 1093097487 · NPPES record last updated Sep 13, 2011
Key facts
- NPI
- 1093097487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0202208595 (VA)
- Practice address
- 100 S College Dr
Franklin, VA 23851-2424 - Phone
- (757) 562-6177
- Fax
- (757) 516-6008
- NPI assigned
- Sep 13, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202208595 | VA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202208595 | VA | Yes |
Addresses
Primary practice location
100 S College Dr
Franklin, VA 23851-2424
Mailing address
22483 Harvest Dr
Franklin, VA 23851-3879
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0202208595 | Other | VA | VIRGINIA BOARD OF PHARMACY LICENSE NUMBER |
Other providers in Franklin, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.