Bradley J Van Buren

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202006436 Issued in VA

Practice address

748 Independence Blvd
Virginia Beach, VA 23455-6206

Phone

(757) 497-1963

NPI assigned

Mar 26, 2013

Last updated

Mar 26, 2013By the provider in NPPES

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

Practice roles

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.

• Eckerd Corporation

  dba Rite Aid Pharmacy 11268

  • Community/Retail Pharmacy
  • Virginia Beach, VA
  • NPI 1982703120
  NPD (past)

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1336481423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 DOWNING DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233228706",
            "telephone_number": "757-482-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 INDEPENDENCE BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556206",
            "telephone_number": "757-497-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN BUREN",
        "first_name": "BRADLEY",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202006436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janee Valerio
• Valiant Mental Health, LLC
• Kim Valle
• Theresa Mae Vallone, APN
• Valueoptions, Inc.
• Christa A Van Geluwe
• Leslie Dianne Van Houten
• Bailey Van Liew, BSN, RN
• Christie Lynn Van Pelt, LCSW
• Arryn Van Slyke, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.