NPIMap

Individual provider Active NPI

Deidre R Payne, PHARM.D.

  • Pharmacist
  • Norfolk, VA
National Provider Identifier
1639466261
Registry record updated Jul 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH021413 Issued in GA
Practice address
1320 Colonial Ave
Norfolk, VA 23517-2014
Phone
(757) 533-9360
Fax
(757) 533-9370
NPI assigned
Jul 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202208283 VA
Pharmacist 183500000X RPH021413 GA Primary

Addresses

Primary practice location

1320 Colonial Ave
Norfolk, VA 23517-2014

Mailing address

1320 Colonial Ave
Norfolk, VA 23517-2014
Phone (757) 533-9360

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

LicenseStateTypeSpecialty
RPH021413GAMDPharmacist
0202208283VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Harris Teeter LLC Past Accepting new patients
Harris Teeter, LLC 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309737600000",
    "number": "1639466261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 COLONIAL AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235172014",
            "telephone_number": "757-533-9360",
            "fax_number": "757-533-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 COLONIAL AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235172014",
            "telephone_number": "757-533-9360",
            "fax_number": "757-533-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "DEIDRE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-04",
        "last_updated": "2011-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202208283",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH021413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2011; 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.