Brian L Fields, PHARM D
Individual provider Active NPI Pharmacist · Grundy, VA
NPI 1760712939 · NPPES record last updated Jan 11, 2010
Key facts
- NPI
- 1760712939
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0202205812 (VA)
- Practice address
- 1244 Poe Town St
Apt 5
Grundy, VA 24614-6152 - Phone
- (276) 935-7395
- NPI assigned
- Jan 11, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202205812 | VA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202205812 | VA | Yes |
Addresses
Primary practice location
1244 Poe Town St
Apt 5
Grundy, VA 24614-6152
Mailing address
PO Box 632
Grundy, VA 24614-0632
Phone (276) 935-7395
Other providers in Grundy, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2010. 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.