Lara M Anby
Individual provider Active NPI Pharmacist · Williamsburg, VA
NPI 1114520236 · NPPES record last updated Nov 19, 2020
Key facts
- NPI
- 1114520236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0202219196 (VA)
- Practice address
- 4630 Monticello Ave
Williamsburg, VA 23188-8200 - Phone
- (757) 564-9835
- NPI assigned
- Nov 19, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202219196 | VA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202219196 | VA | Yes |
Addresses
Primary practice location
4630 Monticello Ave
Williamsburg, VA 23188-8200
Mailing address
4630 Monticello Ave
Williamsburg, VA 23188-8200
Phone (757) 564-9835
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2020. 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.