Active NPI
Elizabeth Carol Gentry
- Pharmacist
- Richmond, VA
National Provider Identifier
1427652775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202216338
- Practice address
- 1205 N Laburnum Ave
Richmond, VA 23223-2179 - Phone
- (804) 343-2012
- Fax
- (804) 343-2017
- NPI assigned
- Nov 27, 2020
- Last updated
- Nov 27, 2020
- Sex
- Female
- 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 | 0202216338 | VA | Primary |
Addresses
Primary practice location
1205 N Laburnum Ave
Richmond, VA 23223-2179
Mailing address
1205 N Laburnum Ave
Richmond, VA 23223-2179
Phone (804) 343-2012
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202216338 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Virginia CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606435200000",
"number": "1427652775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 N LABURNUM AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232232179",
"telephone_number": "804-343-2012",
"fax_number": "804-343-2017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 N LABURNUM AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232232179",
"telephone_number": "804-343-2012",
"fax_number": "804-343-2017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTRY",
"first_name": "ELIZABETH",
"middle_name": "CAROL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-27",
"last_updated": "2020-11-27",
"certification_date": "2020-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202216338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
- Angela Gentili, MD
- Lisa Marie Gentilini, OTR/L
- Gentle Hands Transportation Company LLC (Gentle Hands Transportation)
- Cary L Gentry, M.D.
- Christine Gentry, OTR
- Jenna Gentry, LPC
- Lynwood Overton Gentry Jr., PHD OTR/L
- Genuine Zen Counseling
- Margaret Ruth Geoghegan, CRNA
- George a Oley III DDS PLC (Dr. George A Oley III, Paul J. Shaia & Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.