DR. KEVIN BRUCE FERGUSON (NPI# 1063799880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063799880 |
| Entity Type | Individual |
| Full Name | DR. KEVIN BRUCE FERGUSON |
| Practice Address |
810 W 21st St Norfolk VA 23517-1514 |
| Practice Telephone | 7576237213 |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RPH58515 | CA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 0202207238 | VA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457740391 | Kevin Ferguson II | Counselor | 8023 W Parkway Blvd, 10-305, Tulsa, OK 74127-5665 | 2015-01-15 |
| 1578723516 | Kevin Michael Ferguson | Chiropractor | 525 S San Gabriel Blvd, San Gabriel, CA 91776-2719 | 2008-06-12 |
| 1124009444 | Kevin F Ferguson | Pediatrics | 40 Sunshine Cottage Rd Rm 1n-e29, Valhalla, NY 10595-1524 | 2005-11-14 |
| 1720695521 | Kevin Dean Ferguson | In Home Supportive Care | 4318 County Road 64, Willow Wood, OH 45696-9067 | 2020-09-25 |
| 1407056013 | Kevin John Ferguson | Nurse Practitioner | 955 S Bailey Ave, South Haven, MI 49090-6743 | 2007-07-21 |
| 1164530036 | Kevin R Ferguson | Psychiatry & Neurology | 7155 Lee Hwy Ste 300, Chattanooga, TN 37421-0802 | 2006-08-29 |
| 1437173358 | Kevin L. Ferguson | Emergency Medicine | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-07-26 |
| 1801823067 | Kevin L Ferguson | Pathology | 3701 S Higuera St, Ste 200, San Luis Obispo, CA 93401-7462 | 2006-06-26 |
| 1659365492 | Kevin Ferguson | Dentist | 110 S 17th St, Dental Dept., Harrisburg, PA 17104-1123 | 2005-09-08 |
| Street Address |
810 W 21ST ST |
| City | NORFOLK |
| State | VA |
| Zip Code | 23517-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639184682 | Walgreen Co | Pharmacy | 810 W 21st St, Norfolk, VA 23517-1514 | 2006-07-29 |
| 1164706081 | Herrmann Banner | Pharmacist | 810 W 21st St, Norfolk, VA 23517-1514 | 2011-10-11 |
| 1063795052 | Linda Marsh Rienerth | Pharmacist | 810 W 21st St, Norfolk, VA 23517-1514 | 2011-09-26 |
| 1194006874 | Paul John | Pharmacist | 810 W 21st St, Norfolk, VA 23517-1514 | 2011-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164948535 | Honey Behavioral Therapy | Behavioral Analyst | 520 W. 21st Street, Suite G2-407, Norfolk, VA 23517 | 2017-08-17 |
| 1245638899 | Americare Plus, LLC. | In Home Supportive Care | 2200 Colonial Avenue, Suite 15, Norfolk, VA 23517 | 2014-12-15 |
| 1932458478 | Carolyn Reed Hersh | Counselor | 117 W. 21st Street, Suite 206, Norfolk, VA 23517 | 2012-08-30 |
| 1487959342 | Harris Teeter, LLC | Pharmacy | 1320 Colonial Avenue, Norfolk, VA 23517 | 2011-01-24 |
| 1912133406 | Air Specialty Corp | Contractor | 121 East 25th St, Norfolk, VA 23517 | 2009-06-10 |
| 1578798849 | East End Academy Inc Southside | Clinic/Center | 2607 Colonial Avenue, Norfolk, VA 23517 | 2009-05-15 |
| 1568682292 | Jennifer S Derugen | Midwife | 1700 Hampton Blvd, Apt A, Norfolk, VA 23517 | 2007-04-26 |
| 1265568026 | Norfolk Integrative Manual Therapy | Physical Therapist | 350 22 St W., Suite 108, Norfolk, VA 23517 | 2007-02-26 |
| 1528133436 | Krysia B Witkowski | Physical Therapist | 350 W 22nd St, Suite 108, Norfolk, VA 23517 | 2006-11-24 |
| 1699846121 | Orthopaedic Associates of Virginia, Ltd | Neuromusculoskeletal Medicine, Sports Medicine | 953b West 21st St, Virginia Beach, VA 23517 | 2006-11-13 |
| Find all providers in zip 23517 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040016 | Andrew Van Slyke | Pharmacist | 7550 Granby St, Norfolk, VA 23505-3443 | 2020-10-14 |
| 1073149688 | Anton Anderson | Pharmacist | 1301 W Norfolk Ave, Norfolk, NE 68701-4833 | 2020-03-14 |
| 1932758976 | Jennifer Riveros | Pharmacist | 400 Gresham Dr Ste 104, Norfolk, VA 23507-1901 | 2019-09-11 |
| 1205313343 | Emily C Beasley | Pharmacist | 201 W 21st St Apt 322, Norfolk, VA 23517-2371 | 2018-07-22 |
| 1881188159 | Patrick Michael Haar | Pharmacist | 601 Pembroke Avenue, Apt 104, Norfolk, VA 23507 | 2018-06-19 |
| 1851892533 | Chad Maas | Pharmacist | 1718 Troon St, Norfolk, NE 68701-3389 | 2018-02-27 |
| 1518491299 | Iffat Sanderlin | Pharmacist | 5478 Greenplain Rd Apt 107, Norfolk, VA 23502-2363 | 2017-04-19 |
| 1669914586 | Laiken Anderson | Pharmacist | 5033 Pleasant Ave, Norfolk, VA 23518-2015 | 2016-11-09 |
| 1144776725 | Amr Hassan | Pharmacist | 1610 W Little Creek Rd, Apt 204, Norfolk, VA 23505 | 2016-09-01 |
| 1134673296 | Naved Rahim | Pharmacist | 6101 N Military Hwy, Norfolk, VA 23518-5434 | 2016-08-06 |
| Find all providers in NORFOLK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.