Active NPI
John Van, PHARM D
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Virginia Beach, VA
National Provider Identifier
1902177728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 0202212124
- Practice address
- 3330 Virginia Beach Blvd
Virginia Beach, VA 23452-5617 - Phone
- (757) 486-4184
- Fax
- (757) 486-2468
- NPI assigned
- Jan 25, 2012
- Last updated
- Jun 3, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 0202212124 | VA | Primary |
Addresses
Primary practice location
3330 Virginia Beach Blvd
Virginia Beach, VA 23452-5617
Mailing address
3330 Virginia Beach Blvd
Virginia Beach, VA 23452-5617
Phone (757) 486-4184
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0202212124 | VA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Kroger Limited Partnership I | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kroger Pharmacy
- Community/Retail Pharmacy
- Virginia Beach, VA
- NPI 1700810587
-
dba Kroger Pharmacy #473
- Community/Retail Pharmacy
- Newport, KY
- NPI 1104791078
-
- Pharmacy
- San Diego, CA
- NPI 1649356650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1902177728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3330 VIRGINIA BEACH BLVD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234525617",
"telephone_number": "757-486-4184",
"fax_number": "757-486-2468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 VIRGINIA BEACH BLVD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234525617",
"telephone_number": "757-486-4184",
"fax_number": "757-486-2468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-25",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "VA",
"license": "0202212124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
- Leslie Dianne Van Houten
- Bailey Van Liew, BSN, RN
- Christie Lynn Van Pelt, LCSW
- Arryn Van Slyke, PHARMD
- Sophie Van Zee, RBT
- Vanamberg PC (The Dynamic Life Chiropractice Center of Va Beach)
- Matthew Bradley Vanamberg, D.C.
- Theresa Vandecarr, PT
- Stephen Edward Vandenhoff, MD
- Maria Tabora Vandermeid, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.