Active NPI
Brandi Webber-Etheridge, PHARM.D.
- Pharmacist
- Virginia Beach, VA
National Provider Identifier
1255463360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202207655
- Practice address
- 4417 Corporation LN
Virginia Beach, VA 23462-3162 - Phone
- (757) 552-8964
- NPI assigned
- Mar 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202207655 | VA | Primary |
Addresses
Primary practice location
4417 Corporation LN
Virginia Beach, VA 23462-3162
Mailing address
100 Isabella LN Apt 101
Virginia Beach, VA 23462-6734
Phone (919) 225-2110
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202207655 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255463360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 ISABELLA LN APT 101",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234626734",
"telephone_number": "919-225-2110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4417 CORPORATION LN",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234623162",
"telephone_number": "757-552-8964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBBER-ETHERIDGE",
"first_name": "BRANDI",
"name_prefix": "Miss",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202207655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.