Jaden Tyrell Garvin, EXCPT

Primary specialty

PharmacistTaxonomy code 183500000X

License

0230033833 Issued in VA

Practice address

1832 Kempsville Rd
Virginia Beach, VA 23464-6861

Phone

(757) 278-2573

Fax

(757) 278-2567

NPI assigned

Mar 26, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1205413119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 DUNBAR ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235042701",
            "telephone_number": "757-389-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 KEMPSVILLE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646861",
            "telephone_number": "757-278-2573",
            "fax_number": "757-278-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARVIN",
        "first_name": "JADEN",
        "middle_name": "TYRELL",
        "credential": "EXCPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0230033833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Scarlett Garrison
• Summer T Garrison, M.P.T
• Tiffany Marie Garrison, PA-C
• Megan Garrod, PHARMD
• Garry C. Shoemaker, O.D., P.C.
• Gary Newell, D.D.S., Inc.
• Gary Newell, DDS, Inc.
• Emma Laura Gash, NP
• Elizabeth Kendall Gaskill, P.A.
• Gastroenterology LTD

• Pharmacist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.