Active NPI
Heather Dawn Boswell Eades
- Geriatric Pharmacist
- Henrico, VA
National Provider Identifier
1992305130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 0202206220
- Practice address
- 9440 W Broad St
Henrico, VA 23294-5330 - Phone
- (804) 747-9160
- NPI assigned
- Oct 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 0202206220 | VA | Primary |
Addresses
Primary practice location
9440 W Broad St
Henrico, VA 23294-5330
Mailing address
724 Broad Street Rd
Manakin Sabot, VA 23103-2406
Phone (804) 937-8946
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202206220 | VA | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1992305130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 BROAD STREET RD",
"city": "MANAKIN SABOT",
"state": "VA",
"postal_code": "231032406",
"telephone_number": "804-937-8946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9440 W BROAD ST",
"city": "HENRICO",
"state": "VA",
"postal_code": "232945330",
"telephone_number": "804-747-9160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EADES",
"first_name": "HEATHER",
"middle_name": "DAWN BOSWELL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-27",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "VA",
"license": "0202206220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henrico, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.