MS. ROBERTA ANN BULLOCK (NPI# 1265698997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265698997 |
| Entity Type | Individual |
| Full Name | MS. ROBERTA ANN BULLOCK |
| Credential | PHARMD |
| Practice Address |
228 Marday Dr Ruther Glen VA 22546-1502 |
| Practice Telephone | 8044484469 |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2008-08-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835G0303X |
Pharmacist Specialization: Geriatric |
0202006591 | VA | Pharmacy Service Providers |
| Street Address |
228 MARDAY DR |
| City | RUTHER GLEN |
| State | VA |
| Zip Code | 22546-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659888717 | Mohamed Ibrahim | Dentist | 18010 Jefferson Davis Highway, Ruther Glen, VA 22546 | 2018-01-10 |
| 1891246237 | Urgent Care Travel, Inc | Clinic/Center | 23458 Cool Water Drive, Ruther Glenn, VA 22546 | 2016-10-20 |
| 1346423225 | Caroline Outpatient Program | Community/Behavioral Health | 7120 Conway Place, Ruther Glen, VA 22546 | 2007-12-13 |
| 1043275852 | Victoria E Grady | Internal Medicine | 8051 Prosperity Way Ste 100, Ruther Glen, VA 22546 | 2006-04-18 |
| 1578931911 | Right Price Construction | Durable Medical Equipment & Medical Supplies | 306 Burr Dr, Ruther Glen, VA 22546 | 2015-09-02 |
| 1588973614 | Jennifer Lynn Brown | Social Worker | 19254 Rogers Clark Blvd, Ruther Glen, VA 22546 | 2010-10-07 |
| 1710293477 | Nancy Christine Love I | Social Worker | 19254 Rogers Clark Blvd, Ruther Glen, VA 22546 | 2010-08-19 |
| 1184182719 | Antonio O'neil Clinkscales | Counselor | 103 Surrey Dr, Ruther Glen, VA 22546-1035 | 2019-03-02 |
| 1942548912 | Nicole Rich | Technician | 1004 Lake Heritage Dr, Ruther Glen, VA 22546-1054 | 2013-01-24 |
| 1396063855 | David Joseph Perillo | Podiatrist | 347 Land Or Dr, Ruther Glen, VA 22546-1235 | 2010-05-08 |
| Find all providers in zip 22546 | ||||
| Taxonomy Code | 1835G0303X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Geriatric |
| A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. |
| Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922561596 | Lydia Prather Ballentine | Pharmacist | 8575 Magellan Pkwy Ste 1000, Richmond, VA 23227-1164 | 2019-04-10 |
| 1134693195 | Danielle Danzi | Pharmacist | 82 Eagle Creek Ter, Zion Crossroads, VA 22942-6962 | 2019-01-13 |
| 1043725898 | Lisa Linden | Pharmacist | 8268 Olsen Rd, Roanoke, VA 24019-2227 | 2017-12-01 |
| 1750801080 | Jeffery Alan Chodrow | Pharmacist | 1282 Twelve Acre Rd, Moneta, VA 24121-1779 | 2017-06-27 |
| 1235687724 | Diane Weakley | Pharmacist | 1723 Hanover Ave Apt 1, Richmond, VA 23220-3549 | 2016-09-14 |
| 1881059046 | Amy R Westmoreland | Pharmacist | 533 Green Hollow Rd, Pearisburg, VA 24134-2784 | 2015-12-15 |
| 1366836496 | Duane Blevins | Pharmacist | 312 Vermillion Dr, Bluefield, VA 24605-9349 | 2015-03-26 |
| 1780924308 | David Leroy Hopewell IIi | Pharmacist | 97 Old White Bridge Rd, Waynesboro, VA 22980-6559 | 2013-02-19 |
| 1790057305 | Ravi A Wankhede | Pharmacist | 11208 Silversmith Ln, Fredericksburg, VA 22407-2550 | 2012-01-30 |
| 1447535042 | Michael S Kirkbride | Pharmacist | 1175 Mariners Way, Unit 111, Huddleston, VA 24104-3634 | 2011-10-14 |
| Find all providers with the same taxonomy | ||||
| City | RUTHER GLEN |
| Zip Code | 22546 |
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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.