Beulah Monique Gaines

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

0230003742 Issued in VA

Practice address

7530 Tidewater Dr
Norfolk, VA 23505-3717

Phone

(757) 480-3051

Fax

(757) 480-3068

NPI assigned

Mar 4, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1386239176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7530 TIDEWATER DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235053717",
            "telephone_number": "757-480-3051",
            "fax_number": "757-480-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7530 TIDEWATER DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235053717",
            "telephone_number": "757-480-3051",
            "fax_number": "757-480-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "BEULAH",
        "middle_name": "MONIQUE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "VA",
            "license": "0230003742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Walmart",
            "affiliation": "N",
            "address_1": "7530 Tidewater Dr",
            "city": "Norfolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "235053717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lara E Gagliardi, DO
• Stephanie Theresa Gagnon, LCSW
• Rajaat Gahlon, M.D.
• Gail D. Steckler, D.O., P.C.
• Octasia Nikkole Gainer, LPC
• Gait Center Hampton Roads
• David Gakhokidze, MD
• Maia Gakhokidze, M.D.
• Miriam Galan-Dejesus, NP
• Justine Mae Galan, DH

• Pharmacy Technician in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Pharmacy Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.