Mindy Busher, PHARM D
Individual provider Active NPI Pharmacist · Sandy Hook, VA
NPI 1902175151 · NPPES record last updated Dec 16, 2011
Key facts
- NPI
- 1902175151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- VA0202206254 (VA)
- Practice address
- 2690 Parkhouse CT
Sandy Hook, VA 23153-2230 - Phone
- (804) 556-2987
- NPI assigned
- Dec 16, 2011
- Sex
- Female
- 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 |
|---|---|---|---|
| VA0202206254 | VA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | VA0202206254 | VA | Yes |
Addresses
Primary practice location
2690 Parkhouse CT
Sandy Hook, VA 23153-2230
Mailing address
2690 Parkhouse CT
Sandy Hook, VA 23153-2230
Phone (804) 556-2987
Other providers in Sandy Hook, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 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.