Active NPI
Aubrey Samuel Clay Jr., R.PH.
- Pharmacist
- Petersburg, VA
National Provider Identifier
1407899461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202005227
- Practice address
- 518 S Sycamore St
Petersburg, VA 23803-5038 - Phone
- (804) 733-5888
- Fax
- (804) 733-9170
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 0202005227 | VA | Primary |
Addresses
Primary practice location
518 S Sycamore St
Petersburg, VA 23803-5038
Mailing address
25110 Courthouse Rd
Stony Creek, VA 23882-2048
Phone (804) 478-4739
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202005227 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1407899461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25110 COURTHOUSE RD",
"city": "STONY CREEK",
"state": "VA",
"postal_code": "238822048",
"telephone_number": "804-478-4739",
"fax_number": "804-733-9170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 S SYCAMORE ST",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238035038",
"telephone_number": "804-733-5888",
"fax_number": "804-733-9170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAY",
"first_name": "AUBREY",
"middle_name": "SAMUEL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202005227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petersburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.