DR. TONYA HENDERSON (NPI# 1821060815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821060815 |
| Entity Type | Individual |
| Full Name | DR. TONYA HENDERSON |
| Credential | PHARM.D. |
| Practice Address |
26317 W. Washington St Hiram Davis Medical Center Pharmacy Petersburg VA 23803-0030 |
| Mailing Address |
Po Box 4030 Petersburg VA 23803-0030 |
| Practice Telephone | 8045247744 |
| Mailing Telephone | 8045247744 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202206454 | VA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841556990 | Tonya Ellen Henderson | Massage Therapist | 916 E Westfield Blvd, Indianapolis, IN 46220-1794 | 2012-04-03 |
| 1487814745 | Tonya Henderson | Obstetrics & Gynecology | 301 Fisher St, Biloxi, MS 39534-2508 | 2008-06-11 |
| Street Address |
26317 W. WASHINGTON ST HIRAM DAVIS MEDICAL CENTER PHARMACY |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23803-0030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760460265 | Lac K Le | General Practice | 26317 W. Washington St, Central State Hospital, Petersburg, VA 23803 | 2006-01-04 |
| 1275503500 | Taweesuk B Sepdham | Internal Medicine | 26317 W. Washington St, Petersburg, VA 23803 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619523719 | Wise Journey Ltd | Home Health | 325-b Brown Street Suite 132, Petersburg, VA 23803 | 2019-08-14 |
| 1386101699 | Marliqua Barnes | Driver | 601 Carter St, Petersburg, VA 23803 | 2019-02-22 |
| 1356596571 | Quality Healthcare Inc | Community/Behavioral Health | 6111 Duncan Rd, Ste F, Petersburg, VA 23803 | 2008-12-02 |
| 1861614943 | Peoples Family Dental Care | Dentist | 1328 W Washington St, Petersburg, VA 23803 | 2007-05-02 |
| 1841333721 | Family Preservation Services, Inc | Community/Behavioral Health | 1000 Patterson Ave, Petersburg, VA 23803 | 2007-02-14 |
| 1154473155 | Progressive Adult Rehabilitation Center, Inc. | Day Training, Developmentally Disabled Services | 114 North Union Street, Suite B, Petersburg, VA 23803 | 2007-01-18 |
| 1861556615 | Evelyn V. Whitehead | Counselor | 115 E Wythe St, Petersburg, VA 23803 | 2006-12-19 |
| 1538248778 | Raymond Gibson Smith Jr. | Dentist | Seventh Avenue, Hiram Davis Medical Center, Petersburg, VA 23803 | 2006-11-06 |
| 1396842282 | Eugene Arthur Richardson IIi | Dentist | 23 Shore Street, Petersburg, VA 23803 | 2006-09-20 |
| 1679594030 | Olumuyiwa Akinniyi Ojediran | Internal Medicine | 734 South Sycamore Street, Petersburg, VA 23803 | 2006-07-21 |
| Find all providers in zip 23803 | ||||
| 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 |
|---|---|---|---|---|
| 1457997850 | Kim Porter | Pharmacist | 1522 Main Street, Petersburg, TX 79250 | 2019-11-20 |
| 1659815322 | Mark Saville | Pharmacist | 86 Saullie Evans Dr, Petersburg, WV 26847-7014 | 2016-12-14 |
| 1851729495 | Fontellia Yates | Pharmacist | 1026 Dakar Dr, Petersburg, VA 23803-4804 | 2013-10-16 |
| 1881937761 | Catherine Kowalski | Pharmacist | 215 North Nordic Drive, Petersburg, AK 99833-1209 | 2013-03-29 |
| 1619247152 | Tina Stoll Graham | Pharmacist | 3280 S Crater Rd, Petersburg, VA 23805-9217 | 2011-12-30 |
| 1275822744 | Rite Aid Pharmacy | Pharmacist | 2141 S Crater Rd, Petersburg, VA 23805-2701 | 2011-04-05 |
| 1427356807 | Sharon Easton Kannegieter | Pharmacist | 4310 Westgate Rd, Petersburg, VA 23803-6571 | 2011-03-08 |
| 1912119868 | Michael Lamar Dupree | Pharmacist | Fcc Petersburg Medium Attn Pharmacy Svc, 1060 River Road Box 90042, Petersburg, VA 23804 | 2007-05-04 |
| 1275656738 | Elizabeth Mitchell Smith | Pharmacist | 3330 S Crater Rd, Petersburg, VA 23805-9277 | 2007-04-09 |
| 1104946342 | Erica Worhatch | Pharmacist | 215 North Nordic Dr, Petersburg, AK 99833 | 2007-03-30 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 23803 |
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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.