Destinee Eve Hunnicutt Fannon, PHARMD
Individual provider Active NPI Pharmacist · Wise, VA
NPI 1376451815 · NPPES record last updated Aug 27, 2026
Key facts
- NPI
- 1376451815
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0202223872 (VA)
- Practice address
- 207 Woodland Dr SW
Wise, VA 24293-4605 - Phone
- (276) 328-4651
- NPI assigned
- Aug 27, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202223872 | VA | Yes |
Addresses
Primary practice location
207 Woodland Dr SW
Wise, VA 24293-4605
Mailing address
6240 Stephens Rd
Wise, VA 24293-7600
Phone (276) 870-2275
Other providers in Wise, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.