Active NPI
Valerie Petrovsky, PHARMD
- Pharmacist
- Fort Walton Beach, FL
National Provider Identifier
1437753399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS46586
- Practice address
- 1081 Beal Pkwy NW
Fort Walton Beach, FL 32547-1439 - Phone
- (850) 863-4400
- NPI assigned
- Nov 22, 2020
- Last updated
- Nov 22, 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 | PS46586 | FL | Primary |
Addresses
Primary practice location
1081 Beal Pkwy NW
Fort Walton Beach, FL 32547-1439
Mailing address
1081 Beal Pkwy NW
Fort Walton Beach, FL 32547-1439
Phone (850) 863-4400
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS46586 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Past | Accepting new patients | |
| Holiday CVS 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, 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": "1606003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606003200000",
"number": "1437753399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1081 BEAL PKWY NW",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325471439",
"telephone_number": "850-863-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1081 BEAL PKWY NW",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325471439",
"telephone_number": "850-863-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETROVSKY",
"first_name": "VALERIE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-22",
"last_updated": "2020-11-22",
"certification_date": "2020-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS46586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.