Fred Odell

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202005268 Issued in VA

Practice address

5917 High St W
Portsmouth, VA 23703-4505

Phone

(757) 686-5929

NPI assigned

Sep 12, 2011

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1265714752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5917 HIGH ST W",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237034505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5917 HIGH ST W",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237034505",
            "telephone_number": "757-686-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODELL",
        "first_name": "FRED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-12",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202005268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Lynn Ochab, DO
• Ryan Thomas Ochs, DO
• Todd Justin Ochsner, D.O.
• Margaret Rose Oconnell
• Kristina West Oconnor, D.O.
• Melissa Odoemene, MD
• Matthew Curtis Oehler, MD
• Omoyemi Idowu Oenick, DO
• Sean Oenick, DO
• Jaeyoung Oh, MD

• Pharmacist in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.