Active NPI
Nakita Latrice Byrum-Ekop
- Pharmacist
- Williamsburg, VA
National Provider Identifier
1437740875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202215233
- Practice address
- 700 Merrimac TRL
Williamsburg, VA 23185-5351 - Phone
- (757) 258-4450
- Fax
- (757) 258-5574
- NPI assigned
- Jan 28, 2021
- 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 | 0202215233 | VA | Primary |
Addresses
Primary practice location
700 Merrimac TRL
Williamsburg, VA 23185-5351
Mailing address
700 Merrimac TRL
Williamsburg, VA 23185-5351
Phone (757) 258-4450
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 |
|---|---|---|---|
| 0202215233 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Virginia CVS Pharmacy, L.L.C. | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1437740875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 MERRIMAC TRL",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231855351",
"telephone_number": "757-258-4450",
"fax_number": "757-258-5574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 MERRIMAC TRL",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231855351",
"telephone_number": "757-258-4450",
"fax_number": "757-258-5574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRUM-EKOP",
"first_name": "NAKITA",
"middle_name": "LATRICE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-28",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202215233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.