Individual provider Active NPI

Theresa Simmons, RPH, BCACP

  • Ambulatory Care Pharmacist
  • Zion Crossroads, VA
National Provider Identifier
1225693179
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
202204218 Issued in VA
Practice address
1015 Spring Creek Pkwy
Zion Crossroads, VA 22942-7019
Phone
(434) 243-9136
Fax
(434) 243-9139
NPI assigned
May 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X 202204218 VA Primary

Addresses

Primary practice location

1015 Spring Creek Pkwy
Zion Crossroads, VA 22942-7019

Mailing address

1015 Spring Creek Pkwy
Zion Crossroads, VA 22942-7019
Phone (434) 243-9136

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
202204218VAMDAmbulatory Care Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1225693179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 SPRING CREEK PKWY",
            "city": "ZION CROSSROADS",
            "state": "VA",
            "postal_code": "229427019",
            "telephone_number": "434-243-9136",
            "fax_number": "434-243-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 SPRING CREEK PKWY",
            "city": "ZION CROSSROADS",
            "state": "VA",
            "postal_code": "229427019",
            "telephone_number": "434-243-9136",
            "fax_number": "434-243-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "RPH, BCACP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "VA",
            "license": "202204218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zion Crossroads, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.