Rick Bergeron
Individual provider Active NPI Pharmacist · Onley, VA
NPI 1740693753 · NPPES record last updated Jun 6, 2014
Key facts
- NPI
- 1740693753
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0202208491 (VA)
- Practice address
- 25096 Lankford Highway
Onley, VA 23418 - Phone
- (757) 787-7154
- NPI assigned
- Jun 6, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202208491 | VA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202208491 | VA | Yes |
Addresses
Primary practice location
25096 Lankford Highway
Onley, VA 23418
Mailing address
12151 Nandua Shores Dr
Painter, VA 23420-3222
Phone (757) 710-8526
Other providers in Onley, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.