Artavia Ann Blair

Individual provider Active NPI Pharmacy Technician · Richmond, VA

NPI 1811616626 · NPPES record last updated Aug 24, 2022

Key facts

NPI
1811616626
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
0230036151 (VA)
Practice address
5221 Brook Rd
Richmond, VA 23227-2901
Phone
(804) 266-7120
NPI assigned
Aug 24, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0230036151VAMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Wal-Mart Stores East, LP Past
since Aug 28, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 0230036151 VA Yes

Addresses

Primary practice location

5221 Brook Rd
Richmond, VA 23227-2901

Mailing address

5221 Brook Rd
Richmond, VA 23227-2901
Phone (804) 266-7120

Other providers in Richmond, VA

All providers in Richmond, VA · Pharmacy Technician in Virginia

Sources for this page

Verify at the official NPI Registry.