Judith Doretea Ackermann, RPH
Individual provider Active NPI Pharmacist · Virginia Beach, VA
NPI 1114247756 · NPPES record last updated Jun 6, 2010
Key facts
- NPI
- 1114247756
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0202209188 (VA)
- Practice address
- 1075 Independence Blvd
Virginia Beach, VA 23455-5523 - Phone
- (757) 464-2565
- NPI assigned
- Jun 6, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0202209188 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eckerd Corporation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202209188 | VA | Yes |
Addresses
Primary practice location
1075 Independence Blvd
Virginia Beach, VA 23455-5523
Mailing address
1075 Independence Blvd
Virginia Beach, VA 23455-5523
Phone (757) 464-2565
Other providers in Virginia Beach, VA
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- Jennifer Acierto
- Acira Health Professional Inc
- Ann Deweese Ackerman
- Daniel William Ackerman
- Acore Heart in Home Supportive Services LLC
- Joanna Marie S. Acosta-Sassoon
- Adrianne Acosta
- Madison Russell Acra
- Acw Counseling Services, LLC
All providers in Virginia Beach, VA · Pharmacist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2010. 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.