Active NPI
Avery Gathers, AVERY GATHERS
- Pharmacist
- Norfolk, VA
National Provider Identifier
1760701759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0201001461
- Practice address
- 525 W 21St St
Norfolk, VA 23517-1985 - Phone
- (757) 625-6073
- NPI assigned
- May 31, 2010
- Sex
- Male
- 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 | 0201001461 | VA | Primary |
Addresses
Primary practice location
525 W 21St St
Norfolk, VA 23517-1985
Mailing address
3537 Criollo Dr
Virginia Beach, VA 23453-2247
Phone (757) 468-1602
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 |
|---|---|---|---|
| 0201001461 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Virginia Inc | Past | Accepting new patients | |
| Rite Aid of Virginia Inc | 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.
-
- Community/Retail Pharmacy
- Norfolk, VA
- NPI 1598874802
-
- Community/Retail Pharmacy
- Grottoes, VA
- NPI 1982319000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275264000000",
"number": "1760701759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3537 CRIOLLO DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234532247",
"telephone_number": "757-468-1602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 W 21ST ST",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235171985",
"telephone_number": "757-625-6073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATHERS",
"first_name": "AVERY",
"name_prefix": "Mr.",
"credential": "AVERY GATHERS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-31",
"last_updated": "2010-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0201001461",
"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 May 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.