Deepika R Reddy
Individual provider Active NPI Pharmacist · Virginia Beach, VA
NPI 1427360684 · NPPES record last updated Jul 4, 2010
Key facts
- NPI
- 1427360684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0202206413 (VA)
- Practice address
- 4245 Holland Rd
Virginia Beach, VA 23452-1904 - Phone
- (757) 474-2289
- NPI assigned
- Jul 4, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202206413 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eckerd Corporation | Past | Accepting new patients | |
| Eckerd Corporation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202206413 | VA | Yes |
Addresses
Primary practice location
4245 Holland Rd
Virginia Beach, VA 23452-1904
Mailing address
3621 Cainhoy LN
Virginia Beach, VA 23462-5276
Other providers in Virginia Beach, VA
- Recovery for the City International Inc.
- Red Mill Chiropractic LLC
- Red Mill Pediatric Dentistry, PLLC
- Samantha Redd
- Joyce S Redding
- Venkat Manoranjan Reddy
- Deborah D Redmond
- Eliaine Reed
- Jessica Jennae Reed
- Joshua Reed
All providers in Virginia Beach, VA · Pharmacist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 4, 2010. 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.