Emory F Hurst Jr., RPH

Individual provider Active NPI Pharmacist · Onancock, VA

NPI 1104945401 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1104945401
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
0202005250 (VA)
Practice address
25 Market St
Onancock, VA 23417-1911
Phone
(757) 787-3500
Fax
(757) 787-9449
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
0202005250VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Runningers Pharmacy Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202005250 VA Yes

Addresses

Primary practice location

25 Market St
Onancock, VA 23417-1911

Mailing address

24150 Thicket Point LN
Onancock, VA 23417-3034
Phone (757) 789-3845

Other providers in Onancock, VA

All providers in Onancock, VA · Pharmacist in Virginia

Sources for this page

Verify at the official NPI Registry.