Olivia Mothershead, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202209624 Issued in VA

Practice address

308 N Main St
Kilmarnock, VA 22482-3834

Phone

(804) 435-8818

NPI assigned

Apr 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kilmarnock Pharmacy Inc

  • Long Term Care Pharmacy
  • Kilmarnock, VA
  • NPI 1578252557
  NPD
• Kilmarnock Pharmacy Inc

  • Community/Retail Pharmacy
  • Kilmarnock, VA
  • NPI 1528016771
  NPD (past)

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1225658669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SETTLERS LANDING RD",
            "city": "WARSAW",
            "state": "VA",
            "postal_code": "225723556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N MAIN ST",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224823834",
            "telephone_number": "804-435-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTHERSHEAD",
        "first_name": "OLIVIA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202209624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "?",
            "affiliation": "N",
            "address_1": "308 N Main St",
            "city": "Kilmarnock",
            "state": "VA",
            "country_code": "US",
            "postal_code": "224823834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kevin J McGrath, MD
• Megan McMahon
• Betty Temples Mill, NURSE PRACTITIONER
• Jennifer Sue Miller, RD
• Patricia Kathleen Monge-Meberg, MD
• David Alan Newman, DMD
• Michael David Nickerson Sr., DDS
• Northern Neck Chiropractic PC
• Northern Neck Free Health Clinic
• Northern Neck Life Consultants, PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.