Theodor Barclay V, PHARM.D.
Individual provider Active NPI Pharmacist · Chesterfield, VA
NPI 1184008179 · NPPES record last updated Jul 20, 2015
Key facts
- NPI
- 1184008179
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0202214204 (VA)
- Practice address
- 10230 Iron Bridge Rd
Chesterfield, VA 23832-6531 - Phone
- (804) 586-9377
- NPI assigned
- Jul 20, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202214204 | VA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202214204 | VA | Yes |
Addresses
Primary practice location
10230 Iron Bridge Rd
Chesterfield, VA 23832-6531
Mailing address
13901 Highpaige Way
Chester, VA 23831-6536
Other providers in Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2015. 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.