Collin Beatty, PHARMD
Individual provider Active NPI Pharmacist · Ashland, VA
NPI 1861006306 · NPPES record last updated Aug 17, 2024
Key facts
- NPI
- 1861006306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0202213010 (VA)
- Practice address
- 133 Junction Dr
Ashland, VA 23005-2253 - Phone
- (804) 752-2093
- NPI assigned
- Sep 2, 2020
- 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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202213010 | VA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202213010 | VA | Yes |
Addresses
Primary practice location
133 Junction Dr
Ashland, VA 23005-2253
Mailing address
133 Junction Dr
Ashland, VA 23005-2253
Phone (804) 752-2093
Other providers in Ashland, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2024. 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.