Active NPI
Jessica Lynn Southward, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Richmond, VA
National Provider Identifier
1164787529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RPH023611
- Practice address
- 1201 Broad Rock Blvd
Richmond, VA 23249-7708 - Phone
- (804) 675-5000
- NPI assigned
- Jul 11, 2012
- Last updated
- Aug 12, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 0202209590 | VA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 49635 | TX | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH023611 | GA | Primary |
Addresses
Primary practice location
1201 Broad Rock Blvd
Richmond, VA 23249-7708
Mailing address
4114 University Blvd
Dallas, TX 75205-1633
Phone (540) 818-2803
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH023611 | GA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 49635 | TX | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 0202209590 | VA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754956800000",
"number": "1164787529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4114 UNIVERSITY BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752051633",
"telephone_number": "540-818-2803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 BROAD ROCK BLVD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232497708",
"telephone_number": "804-675-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTHWARD",
"first_name": "JESSICA",
"middle_name": "LYNN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-11",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "VA",
"license": "0202209590",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "TX",
"license": "49635",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "GA",
"license": "RPH023611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
- Southampton Operator, LLC (Southampton Rehabilitation and Healthcare Center)
- Bobbi Southard
- Southern Charm Healthcare LLC
- Southern Physical Medicine Associates Inc (Physical Medicine Center)
- Southside Community Acupuncture, LLC
- Meredith Bojarski Southwell, MSW
- Sova Health Group PLLC
- Kathryn Sowder, M.S. CCC-SLP
- Sown Therapy PLLC
- Suzanne Granados Spadafora, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.