Active NPI
Vicki Lee Fitzgerald, RPH
- Pharmacist
- Virginia Beach, VA
National Provider Identifier
1497357248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202012509
- Practice address
- 2089 Salem Rd
Virginia Beach, VA 23456-1309 - Phone
- (757) 471-2202
- Fax
- (757) 471-2210
- NPI assigned
- Nov 16, 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 | 0202012509 | VA | Primary |
Addresses
Primary practice location
2089 Salem Rd
Virginia Beach, VA 23456-1309
Mailing address
136 Filbert St
Norfolk, VA 23505-4408
Phone (757) 617-9508
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 |
|---|---|---|---|
| 0202012509 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia CVS Pharmacy LLC | 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, 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": "1605484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1497357248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 FILBERT ST",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235054408",
"telephone_number": "757-617-9508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2089 SALEM RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234561309",
"telephone_number": "757-471-2202",
"fax_number": "757-471-2210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "VICKI",
"middle_name": "LEE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-16",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202012509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.