LUKE ASHTON WYCKOFF (NPI# 1568935948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568935948 |
| Entity Type | Individual |
| Full Name | LUKE ASHTON WYCKOFF |
| Credential | PHARM. D. |
| Practice Address |
304 Long Creek Ln Hampton VA 23664-1923 |
| Practice Telephone | 7576515833 |
| Mailing Telephone | 7576515833 |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-01-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202215805 | VA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | VIRGINIA BOARD OF PHARMACY | 0202215805 | 01 |
| Street Address |
304 LONG CREEK LN |
| City | HAMPTON |
| State | VA |
| Zip Code | 23664-1923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174815278 | Heather Lynn Mcintosh | Pharmacist | 304 Long Creek Ln, Hampton, VA 23664-1923 | 2011-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669030920 | Living A Blessed Life Home Health Care | Home Health | 364 N First Street, Hampton, VA 23664 | 2019-06-03 |
| 1518217959 | Nicholas J Kenney | Behavioral Analyst | 15 Seaview Dr, Hampton, VA 23664-1027 | 2012-09-13 |
| 1538496625 | Suzanne Claire Loughman | Counselor | 151 Atlantic Ave, Suite C, Hampton, VA 23664-1087 | 2009-11-10 |
| 1669855011 | David Miller | Dentist | 131 Atlantic Ave, Unit B, Hampton, VA 23664-1095 | 2015-07-02 |
| 1437314754 | Wormill Inc. | Durable Medical Equipment & Medical Supplies | 2002 E Pembroke Ave, Hampton, VA 23664-1111 | 2008-07-25 |
| 1467920710 | Maria Lana Rudd | Respiratory Therapist, Registered | 2122 E Pembroke Ave, Hampton, VA 23664-1113 | 2018-11-05 |
| 1255958047 | Terri Dejuana Gilliam | Nurse Practitioner | 23 Northcutt Dr, Hampton, VA 23664-1179 | 2020-06-29 |
| 1982152765 | Ardelia Williams | Case Manager/Care Coordinator | 2502 E Pembroke Ave, Hampton, VA 23664-1246 | 2016-09-21 |
| 1922557164 | Debra La Salvia | Case Manager/Care Coordinator | 2502 E Pembroke Ave, Hampton, VA 23664-1246 | 2016-09-29 |
| 1134530157 | Victoria Stutts | Dietitian, Registered | 2610 E Pembroke Ave, Hampton, VA 23664-1248 | 2014-05-13 |
| Find all providers in zip 23664 | ||||
| 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 |
|---|---|---|---|---|
| 1942813399 | Scotte M Johnson | Pharmacist | 6 Treebark Pl, Hampton, VA 23666-2179 | 2020-08-26 |
| 1609494277 | Joshua Atere | Pharmacist | 100 Emancipation Dr Hampton, Hampton, VA 23667-0001 | 2020-07-10 |
| 1942853528 | Sylvia Gergis | Pharmacist | 303 Roane Dr, Hampton, VA 23669-2533 | 2019-07-22 |
| 1295247526 | Brittany Bernardino | Pharmacist | 1703 Elm Street W, Hampton, SC 29924 | 2017-10-26 |
| 1497278345 | Bryce Alan Stafford | Pharmacist | 1703 Elm Street West, Hampton, SC 29924 | 2017-07-24 |
| 1699217448 | Imani Tuck | Pharmacist | 227 Fox Hill Rd, Unit B1, Hampton, VA 23669-1739 | 2016-11-10 |
| 1659824688 | Tiana Johnson | Pharmacist | 8 Ravenscroft Ln, Hampton, VA 23669-4819 | 2016-07-26 |
| 1295188423 | Mark Moskal | Pharmacist | 321 Lafayette Rd # A, Hampton, NH 03842-2158 | 2016-07-22 |
| 1376998435 | Ikenna Stephen Okafor | Pharmacist | 1585 Briarfield Rd Apt 35, Hampton, VA 23666-4846 | 2016-04-26 |
| 1427486034 | Teresa L Gooding | Pharmacist | 1703 Elm Stree West, Hampton, SC 29924 | 2013-10-16 |
| Find all providers in HAMPTON | ||||
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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.