Thomas Alvin Bovee
Individual provider Active NPI Pharmacist · Bedford, VA
NPI 1811264229 · NPPES record last updated Nov 30, 2011
Key facts
- NPI
- 1811264229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0202009802 (VA)
- Practice address
- 1108 Venable Dr
Bedford, VA 24523-1331 - Phone
- (540) 353-8142
- NPI assigned
- Nov 30, 2011
- 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 |
|---|---|---|---|
| 0202009802 | VA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202009802 | VA | Yes |
Addresses
Primary practice location
1108 Venable Dr
Bedford, VA 24523-1331
Mailing address
1108 Venable Dr
Bedford, VA 24523-1331
Phone (540) 353-8142
Other providers in Bedford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2011. 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.