Active NPI
Robert Faulkner, PHARM D
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Carrollton, VA
National Provider Identifier
1295301141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 0202206283
- Practice address
- 13554 Carrollton Blvd
Carrollton, VA 23314-3210 - Phone
- (757) 238-9401
- NPI assigned
- Jun 1, 2021
- Last updated
- Jun 1, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 0202206283 | VA | Primary |
Addresses
Primary practice location
13554 Carrollton Blvd
Carrollton, VA 23314-3210
Mailing address
236 Seasons TRL
Newport News, VA 23602-8302
Phone (757) 268-5425
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | robert.e.faulkner@riteaid.com | Direct |
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 |
|---|---|---|---|
| 0202206283 | VA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Virginia Inc | Past | Accepting new patients | |
| Rite Aid of Virginia Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rite Aid Pharmacy 06762
- Community/Retail Pharmacy
- Carrollton, VA
- NPI 1467995167
-
dba Rite Aid Pharmacy 07520
- Community/Retail Pharmacy
- Grottoes, VA
- NPI 1982319000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622505600000",
"number": "1295301141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 SEASONS TRL",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236028302",
"telephone_number": "757-268-5425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13554 CARROLLTON BLVD",
"city": "CARROLLTON",
"state": "VA",
"postal_code": "233143210",
"telephone_number": "757-238-9401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAULKNER",
"first_name": "ROBERT",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-01",
"last_updated": "2021-06-01",
"certification_date": "2021-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "VA",
"license": "0202206283",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "robert.e.faulkner@riteaid.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "13554 Carrollton Blvd",
"city": "Carrollton",
"state": "VA",
"country_code": "US",
"postal_code": "233143210",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Carrollton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.