Active NPI
David Walter Eckenberger, RPH
- Pharmacist
- Glen Allen, VA
National Provider Identifier
1487329546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202008084
- Practice address
- 9650 W Broad St
Glen Allen, VA 23060-4115 - Phone
- (804) 273-9276
- NPI assigned
- Aug 11, 2021
- 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 | 0202008084 | VA | Primary |
Addresses
Primary practice location
9650 W Broad St
Glen Allen, VA 23060-4115
Mailing address
6224 Willow Glen Rd
Midlothian, VA 23112-2230
Phone (804) 356-3923
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 |
|---|---|---|---|
| 0202008084 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628640000000",
"number": "1487329546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6224 WILLOW GLEN RD",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231122230",
"telephone_number": "804-356-3923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9650 W BROAD ST",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230604115",
"telephone_number": "804-273-9276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKENBERGER",
"first_name": "DAVID",
"middle_name": "WALTER",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-11",
"last_updated": "2021-08-11",
"certification_date": "2021-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202008084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.