Individual provider Active NPI

Patricia C Koenig

  • Pharmacist
  • Yorktown, VA
National Provider Identifier
1609930940
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202011676 Issued in VA
Practice address
6608 George Washington Mem Hwy
Yorktown, VA 23692-4801
Phone
(757) 890-9402
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202011676 VA Primary

Addresses

Primary practice location

6608 George Washington Mem Hwy
Yorktown, VA 23692-4801

Mailing address

6608 George Washington Mem Hwy
Yorktown, VA 23692-4801
Phone (757) 890-9402

Other practice location 1

576 Jefferson Ave.
McDonald Army Health Center
Fort Eustis, VA 23604-5548
Phone (757) 878-2539

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

LicenseStateTypeSpecialty
0202011676VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Nov 17, 2024 Accepting new patients
Walgreen Co PastSince Nov 17, 2024 Accepting new patients

Locations

6608 George Washington Mem Hwy
Yorktown, VA 23692
Phone (757) 890-9402

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1609930940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6608 GEORGE WASHINGTON MEM HWY",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236924801",
            "telephone_number": "757-890-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6608 GEORGE WASHINGTON MEM HWY",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236924801",
            "telephone_number": "757-890-9402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "576 Jefferson Ave.",
            "address_2": "McDonald Army Health Center",
            "address_purpose": "LOCATION",
            "city": "Fort Eustis",
            "state": "VA",
            "postal_code": "236045548",
            "country_code": "US",
            "telephone_number": "757-878-2539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "PATRICIA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202011676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.