Active NPI
Harley Walvoort
- Pharmacist
- Bedford, VA
National Provider Identifier
1700559945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202219764
- Practice address
- 1217 E Main St
Bedford, VA 24523-2911 - Phone
- (540) 586-2187
- NPI assigned
- Jul 25, 2021
- Last updated
- Dec 3, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202219764 | VA | Primary |
Addresses
Primary practice location
1217 E Main St
Bedford, VA 24523-2911
Mailing address
12058 Moneta Rd
Moneta, VA 24121-5707
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0202219764 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638489600000",
"number": "1700559945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12058 MONETA RD",
"city": "MONETA",
"state": "VA",
"postal_code": "241215707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1217 E MAIN ST",
"city": "BEDFORD",
"state": "VA",
"postal_code": "245232911",
"telephone_number": "540-586-2187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALVOORT",
"first_name": "HARLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-25",
"last_updated": "2021-12-03",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202219764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.