Active NPI
Alyssa Davis Bastug, PHARM.D., MPH
- Pharmacotherapy Pharmacist
- Richmond, VA
National Provider Identifier
1659829950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 0202215722
- Practice address
- 7045 Forest Hill Ave
Richmond, VA 23225-1661 - Phone
- (804) 253-0351
- NPI assigned
- Sep 14, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 26481 | NC | |
| Pharmacotherapy Pharmacist | 1835P1200X | 36820 | SC | |
| Pharmacotherapy Pharmacist | 1835P1200X | 0202215722 | VA | Primary |
Addresses
Primary practice location
7045 Forest Hill Ave
Richmond, VA 23225-1661
Mailing address
7045 Forest Hill Ave
Richmond, VA 23225-1661
Phone (804) 253-0351
Other practice location 1
8180 S Tryon St
Charlotte, NC 28273-3325
Phone (704) 588-2656
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 |
|---|---|---|---|
| 26481 | NC | MD | Pharmacotherapy Pharmacist |
| 0202215722 | VA | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544400000000",
"number": "1659829950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7045 FOREST HILL AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232251661",
"telephone_number": "804-253-0351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7045 FOREST HILL AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232251661",
"telephone_number": "804-253-0351"
}
],
"practiceLocations": [
{
"address_1": "8180 S Tryon St",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282733325",
"country_code": "US",
"telephone_number": "704-588-2656",
"fax_number": "704-588-9796",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BASTUG",
"first_name": "ALYSSA",
"middle_name": "DAVIS",
"name_prefix": "Dr.",
"credential": "PHARM.D., MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-14",
"last_updated": "2018-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "NC",
"license": "26481",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "SC",
"license": "36820",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "VA",
"license": "0202215722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.