Active NPI
Avery Luehman, PHARM.D.
- Pharmacist
- Portsmouth, VA
National Provider Identifier
1629420351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH029178
- Practice address
- 620 John Paul Jones Cir
Portsmouth, VA 23708-2111 - Phone
- (757) 953-7754
- NPI assigned
- Jul 6, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202217837 | VA | |
| Pharmacist | 183500000X | RPH029178 | GA | Primary |
Addresses
Primary practice location
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Mailing address
605 Pinewood Dr
Virginia Beach, VA 23451-4433
Phone (404) 229-0541
Other practice location 1
1035 Nider Blvd Ste 100
Virginia Beach, VA 23459-8701
Phone (757) 953-8208
Other names 1
- Avery Gardner
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 |
|---|---|---|---|
| RPH029178 | GA | MD | Pharmacist |
| 0202217837 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571184000000",
"number": "1629420351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 PINEWOOD DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234514433",
"telephone_number": "404-229-0541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 JOHN PAUL JONES CIR",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237082111",
"telephone_number": "757-953-7754"
}
],
"practiceLocations": [
{
"address_1": "1035 Nider Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234598701",
"country_code": "US",
"telephone_number": "757-953-8208",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUEHMAN",
"first_name": "AVERY",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-06",
"last_updated": "2019-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202217837",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH029178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AVERY",
"last_name": "GARDNER",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.