Lisa C Whetzel, RPH
Individual provider Active NPI Pharmacist · Timberville, VA
NPI 1356941017 · NPPES record last updated Nov 1, 2020
Key facts
- NPI
- 1356941017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0202011904 (VA)
- Practice address
- 375 S Main St
Timberville, VA 22853-9522 - Phone
- (540) 896-0463
- NPI assigned
- Oct 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202011904 | VA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202011904 | VA | Yes |
Addresses
Primary practice location
375 S Main St
Timberville, VA 22853-9522
Mailing address
2479 Caldwell Hollow Rd
Baker, WV 26801-8384
Phone (304) 668-5775
Other providers in Timberville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.