Active NPI
Valla Christina Fairley, BS-PHARMACIST-PHARM
- Pharmacist
- San Antonio, TX
National Provider Identifier
1356415947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 33773
- Practice address
- V. Christina Fairley
1100 Wilford Hall Loop, BLDG 4554 RM 1B074
San Antonio, TX 78236 - Phone
- (210) 292-4266
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- 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 | 183500000X | 33773 | TX | Primary |
Addresses
Primary practice location
V. Christina Fairley
1100 Wilford Hall Loop, BLDG 4554 RM 1B074
San Antonio, TX 78236
Mailing address
1100 Wilford Hall Loop BLDG 4554
Lackland Afb, TX 78236-5638
Other practice location 1
340 Magnolia Cir
Tyndall AFB, FL 32403-5604
Phone (850) 283-7746
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33773 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576713600000",
"number": "1356415947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 WILFORD HALL LOOP BLDG 4554",
"city": "LACKLAND AFB",
"state": "TX",
"postal_code": "782365638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "V. CHRISTINA FAIRLEY",
"address_2": "1100 WILFORD HALL LOOP, BLDG 4554 RM 1B074",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78236",
"telephone_number": "210-292-4266"
}
],
"practiceLocations": [
{
"address_1": "340 Magnolia Cir",
"address_purpose": "LOCATION",
"city": "Tyndall AFB",
"state": "FL",
"postal_code": "324035604",
"country_code": "US",
"telephone_number": "850-283-7746",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAIRLEY",
"first_name": "VALLA",
"middle_name": "CHRISTINA",
"credential": "BS-PHARMACIST-PHARM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2019-12-19",
"certification_date": "2019-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "33773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.