Individual provider Active NPI

Roger Nelson Hirsh, RPH MS MBA

  • Pharmacist
  • Portsmouth, VA
National Provider Identifier
1679552178
Registry record updated Jun 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202005700 Issued in VA
Practice address
620 John Paul Jones Cir
Naval Medical Center Pharmacy
Portsmouth, VA 23708-2111
Phone
(757) 953-0246
Fax
(757) 953-0268
NPI assigned
Jan 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202005700 VA Primary
Pharmacist 183500000X 12296040 WI

Addresses

Primary practice location

620 John Paul Jones Cir
Naval Medical Center Pharmacy
Portsmouth, VA 23708-2111

Mailing address

620 John Paul Jones Cir
Naval Medical Center Pharmacy
Portsmouth, VA 23708-2111
Phone (757) 953-0246

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
Master of Business Administration, Master of Science, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
0202005700VAMDPharmacist
12296040WIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244764800000",
    "number": "1679552178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIR",
            "address_2": "NAVAL MEDICAL CENTER PHARMACY",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237082111",
            "telephone_number": "757-953-0246",
            "fax_number": "757-953-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIR",
            "address_2": "NAVAL MEDICAL CENTER PHARMACY",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237082111",
            "telephone_number": "757-953-0246",
            "fax_number": "757-953-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSH",
        "first_name": "ROGER",
        "middle_name": "NELSON",
        "name_prefix": "Mr.",
        "credential": "RPH MS MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2009-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202005700",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "12296040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 12, 2009; 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.