Heath A Marshall, PHARMD
Individual provider Active NPI Pharmacist · Sutherland, VA
NPI 1376624734 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376624734
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0202205336 (VA)
- Practice address
- 5607 Claiborne Rd
Sutherland, VA 23885-9303 - Phone
- (804) 265-5214
- Fax
- (804) 265-5624
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0202205336 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutherland Pharmacy,Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202205336 | VA | Yes |
Addresses
Primary practice location
5607 Claiborne Rd
Sutherland, VA 23885-9303
Mailing address
20017 Oak River Dr
Petersburg, VA 23803-5610
Phone (804) 590-3033
Other providers in Sutherland, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.