ELIZABETH CARDEN PECKENS (NPI# 1710958327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710958327 |
| Entity Type | Individual |
| Full Name | ELIZABETH CARDEN PECKENS |
| Credential | R.PH |
| Practice Address |
1721 Taussig Blvd Norfolk VA 23511 |
| Mailing Address |
3936 Oakridge Cir Virginia Beach VA 23451-2652 |
| Practice Telephone | 7579539023 |
| Mailing Telephone | 7574771121 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2013-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202006350 | VA | Pharmacy Service Providers |
| Street Address |
1721 TAUSSIG BLVD |
| City | NORFOLK |
| State | VA |
| Zip Code | 23511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033110127 | David Gutierrez | Physician Assistant | 1721 Taussig Blvd, Norfolk, VA 23511 | 2005-08-10 |
| 1598998536 | Heather Allison Anderson | Military Health Care Provider | 1721 Taussig Blvd, Jason Dunham Ddg 109 Naval Station Norfolk, Norfolk, VA 23511-2899 | 2009-08-25 |
| 1053573667 | Wayne M Shurtz | Military Health Care Provider | 1721 Taussig Blvd, Norfolk, VA 23511 | 2008-06-26 |
| 1881811586 | Frank Garcia | Military Health Care Provider | 1721 Taussig Blvd, Norfolk, VA 23511-2298 | 2007-04-20 |
| 1649379769 | Naval Medical Center Portsmouth | Military/U.S. Coast Guard Pharmacy | 1721 Taussig Blvd, Norfolk, VA 23511-2899 | 2006-09-22 |
| 1639146632 | Edward Robin Spearman | Military Health Care Provider | 1721 Taussig Blvd, Norfolk, VA 23511 | 2006-03-08 |
| 1407828965 | Thomas E Clasen | Pharmacist | 1721 Taussig Blvd, Norfolk, VA 23511 | 2006-02-07 |
| 1083686315 | Roberto Adrian Gonzalez | Family Medicine | 1721 Taussig Blvd, Navy Branch Medical Clinic Sewels Point, Norfolk, VA 23511-2899 | 2006-02-02 |
| 1679544233 | Loretta Martin | Pharmacist | 1721 Taussig Blvd, Norfolk, VA 23511 | 2006-01-31 |
| 1376514935 | Melanie Kaye O'banion | Pharmacist | 1721 Taussig Blvd, Norfolk, VA 23511 | 2006-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215591888 | Nash Richard Galvan | Military Health Care Provider | 456-462 Pocahontas St, Norfolk, VA 23511 | 2019-04-29 |
| 1578059481 | Hillary Anne Diffee | Dentist | Navsta Norfolk Sewells Point Branch Clinic, 1647 Admiral Taussig Blvd, Norfolk, VA 23511 | 2018-07-03 |
| 1154860237 | Alexander Blau | General Practice | 1751 Morris Street, Comnavsurflant - Medical Readiness Division, Norfolk, VA 23511 | 2017-02-22 |
| 1205188307 | Agnes Bautista Banias | Dental Hygienist | 1647 Admiral Taussig Blvd Br Health Clinic, Naval Medical Center Portsmouth, Norfolk, VA 23511 | 2012-10-12 |
| 1891052676 | Conor Francis Hynes | Surgery | 1530 Gilbert St Ste 2000, Norfolk, VA 23511 | 2012-04-18 |
| 1871867747 | Brian Joseph Kennerley | Surgery | U. S. Marine Corps Forces Command, 1775 Forrestal Drive Bldg 33, Norfolk, VA 23511 | 2012-02-23 |
| 1053629964 | Shawnly Heath Ward | Military Health Care Provider | Surface Warfare Medical Institute - East, 459 Bellinger Blvd, Norfolk, VA 23511 | 2010-09-14 |
| 1225351760 | Jocelyn Martinezdelgado | Military Health Care Provider | 8857 1st Street, Pcu Jason Dunham Suite 400, Norfolk, VA 23511 | 2010-03-11 |
| 1245480854 | Vanessa O Hofilena | Dentist | 1647 Admiral Taussig Boulevard, Naval Medical Center Portsmouth - Dental Center, Norfolk, VA 23511 | 2008-09-19 |
| 1780833954 | Cecilia M Brownblake | Dentist | 1647 Admiral Taussig Blvd., Norfolk, VA 23511 | 2008-09-12 |
| Find all providers in zip 23511 | ||||
| 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.