Active NPI
Brooks Eckerd Pharmacy
- Pharmacist
- Newport News, VA
National Provider Identifier
1174648190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202207246
- Legal business name
- BROOKS ECKERD PHARMACY
- Practice address
- 13271 Warwick Blvd
Newport News, VA 23602-6721 - Phone
- (757) 874-3047
- NPI assigned
- Mar 20, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniele C. Fisher, PHARM. D.
- Title
- MTM Pharmacist
- Phone
- (757) 874-3047
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202207246 | VA | Primary |
Addresses
Primary practice location
13271 Warwick Blvd
Newport News, VA 23602-6721
Mailing address
1282 Big Bethel PL
Hampton, VA 23666-1486
Phone (757) 325-8628
National Provider Directory
National Provider Directory- Tax ID family
- Brooks Eckerd Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacist
- Durham, NC
- NPI 1972636066
-
- Pharmacist
- Pittsburgh, PA
- NPI 1427361724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1174648190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1282 BIG BETHEL PL",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236661486",
"telephone_number": "757-325-8628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13271 WARWICK BLVD",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236026721",
"telephone_number": "757-874-3047"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKS ECKERD PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FISHER",
"authorized_official_first_name": "DANIELE",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "MTM PHARMACIST",
"authorized_official_telephone_number": "757-874-3047",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM. D."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202207246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.