Robert Faulkner, PHARM D

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Carrollton, VA

NPI 1295301141 · NPPES record last updated Jun 1, 2021

Key facts

NPI
1295301141
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
0202206283 (VA)
Practice address
13554 Carrollton Blvd
Carrollton, VA 23314-3210
Phone
(757) 238-9401
NPI assigned
Jun 1, 2021
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
0202206283VAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid of Virginia Inc Past
since Jun 6, 2021
Accepting new patients
Rite Aid of Virginia Inc Past
since Jun 6, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Group: 193400000X SINGLE SPECIALTY GROUP
1835P0018X 0202206283 VA Yes

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

TypeEndpointUseAffiliation
Other URL robert.e.faulkner@riteaid.com Direct

Other providers in Carrollton, VA

All providers in Carrollton, VA · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Virginia

Sources for this page

Verify at the official NPI Registry.