Individual provider Active NPI

Casey Maria Valiente, PHARMD, CTH

  • Pharmacist
  • Glen Allen, VA
National Provider Identifier
1760925374
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202209439 Issued in VA
Practice address
5400 Wyndham Forest Dr
Glen Allen, VA 23059-5942
Phone
(804) 591-4350
Fax
(804) 381-4944
NPI assigned
Nov 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202209439 VA Primary

Addresses

Primary practice location

5400 Wyndham Forest Dr
Glen Allen, VA 23059-5942

Mailing address

3416 Hunton Ridge Dr
Glen Allen, VA 23059-4678
Phone (804) 586-3256

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
0202209439VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Publix North Carolina, LP CurrentSince Sep 23, 2021 Accepting new patients
Publix North Carolina, LP PastSince Sep 23, 2021 Accepting new patients

Locations

5400 Wyndham Forest Dr
Glen Allen, VA 23059
Phone (804) 591-4350

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.

NPI Registry JSON

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1760925374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 HUNTON RIDGE DR",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230594678",
            "telephone_number": "804-586-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 WYNDHAM FOREST DR",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595942",
            "telephone_number": "804-591-4350",
            "fax_number": "804-381-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALIENTE",
        "first_name": "CASEY",
        "middle_name": "MARIA",
        "credential": "PHARMD, CTH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-30",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202209439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.