Jodi V. Ettare, PHARM.D.

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

0202205862 Issued in VA

Practice address

22776 Timberlake Rd
Suite C
Lynchburg, VA 24502-7310

Phone

(434) 237-3331

Fax

(434) 237-3313

NPI assigned

Dec 4, 2007

Sex

Female

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

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Central Virginia Pharmacy Consultants, P.C.

  • Compounding Pharmacy
  • Lynchburg, VA
  • NPI 1083745509
  NPD Authorized official
• Valley Compounding Pharmacy, P.C.

  • Compounding Pharmacy
  • Lynchburg, VA
  • NPI 1588842959
  NPD (past)

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1245412964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 N LAKE DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245026661",
            "telephone_number": "434-525-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22776 TIMBERLAKE RD",
            "address_2": "SUITE C",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245027310",
            "telephone_number": "434-237-3331",
            "fax_number": "434-237-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTARE",
        "first_name": "JODI",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "VA",
            "license": "0202205862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hugo Alfredo Espinoza, STUDENT
• Jonathan Espinoza
• Essential Hands Inc.
• Christian Estrada, M.D.
• James Vincent Ettare II, PHARMD
• Whitney W Eubank, BSN, MSN
• Evan Chalk DMD PLLC
• Emily Ida Evans, MS, ATC, CMT
• Erin Evans, LPC
• Jenna Evans, LPC

• Pharmacotherapy Pharmacist in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Pharmacotherapy Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.