Gardens Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201004651 Issued in VA

Legal business name

GARDENS PHARMACY

Practice address

1101 Executive Blvd
Suite a
Chesapeake, VA 23320-3634

Phone

(757) 656-6460

Fax

(757) 410-1799

NPI assigned

Jun 15, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Rebecca Boyette Craven, RPH

Title

Pharmacist in Charge

Phone

(757) 567-0798

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1235510314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 EXECUTIVE BLVD",
            "address_2": "SUITE A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203634",
            "telephone_number": "757-656-6460",
            "fax_number": "757-410-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 EXECUTIVE BLVD",
            "address_2": "SUITE A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203634",
            "telephone_number": "757-656-6460",
            "fax_number": "757-410-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDENS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "CRAVEN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "BOYETTE",
        "authorized_official_title_or_position": "PHARMACIST IN  CHARGE",
        "authorized_official_telephone_number": "757-567-0798",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PERMIT NUMBER",
            "identifier": "0201004651",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Carl Ganderson, PSY.D.
• Aimee L Gannon, PA
• April Monique Gantt, NONE
• Keitza Garavito Amador, DC
• Anna Elizabeth Garcia
• Karen Gardiner
• Michelle Rebecca Garland, LCSW
• Katie Garner
• Kelsey Jordana Garner, PA-C
• Susan Garnett

• Community/Retail Pharmacy in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.