Terry B Bass, PHARM.D.
Individual provider Active NPI Pharmacist · Suffolk, VA
NPI 1235409376 · NPPES record last updated Apr 2, 2021
Key facts
- NPI
- 1235409376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0202204259 (VA)
- Practice address
- 7021 Harbour View Blvd Ste 119
Suffolk, VA 23435-2869 - Phone
- (757) 953-4990
- Fax
- (757) 953-5030
- NPI assigned
- Jan 6, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 0202204259 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202204259 | VA | Yes |
Addresses
Primary practice location
7021 Harbour View Blvd Ste 119
Suffolk, VA 23435-2869
Mailing address
7021 Harbour View Blvd Ste 119
Suffolk, VA 23435-2869
Phone (757) 953-4990
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2021. 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.