DR. ALYSSA DAVIS BASTUG (NPI# 1659829950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659829950 |
| Entity Type | Individual |
| Full Name | DR. ALYSSA DAVIS BASTUG |
| Credential | PHARM.D., MPH |
| Practice Address |
7045 Forest Hill Ave Richmond VA 23225-1661 |
| Practice Telephone | 8042530351 |
| Mailing Telephone | 8042530351 |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2018-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
0202215722 | VA | Pharmacy Service Providers |
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
36820 | SC | Pharmacy Service Providers |
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
26481 | NC | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8180 S Tryon St, Charlotte, NC 282733325 | 7045882656 | 7045889796 |
| Street Address |
7045 FOREST HILL AVE |
| City | RICHMOND |
| State | VA |
| Zip Code | 23225-1661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730176066 | Audra Sue Anderson | Pharmacist | 7045 Forest Hill Ave, Richmond, VA 23225-1607 | 2005-10-03 |
| 1932699618 | Publix North Carolina Lp | Durable Medical Equipment & Medical Supplies | 7045 Forest Hill Ave, Richmond, VA 23225-1661 | 2018-05-17 |
| 1235598103 | Allisyn Kennedy | Pharmacist | 7045 Forest Hill Ave, Richmond, VA 23225-1661 | 2016-02-19 |
| 1972627503 | Maria Avino Damico | Pharmacist | 7045 Forest Hill Ave, Richmond, VA 23225 | 2007-03-19 |
| 1578503983 | Giant Food Stores, LLC | Durable Medical Equipment & Medical Supplies | 7045 Forest Hill Ave, Richmond, VA 23225-1607 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114524543 | Alliance Mental Health LLC | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb#2867, Suite 300, Richmond, VA 23225 | 2020-10-08 |
| 1134734957 | Ai H Garner | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb# 2867, Suite 300, Richmond, VA 23225 | 2020-09-09 |
| 1659996023 | Amira Transport Inc. | Non-emergency Medical Transport (VAN) | 7400 Beaufont Springs Drive, Suite 300, North Chesterfield, VA 23225 | 2020-06-11 |
| 1548881352 | Kevin Raymond Tarlow | Psychologist | 2000 Riverside Drive, Apt. 6c, Richmond, VA 23225 | 2020-05-04 |
| 1619522000 | Spring Transport Inc | Non-emergency Medical Transport (VAN) | 2418 W Tremont Ct, Richmond, VA 23225 | 2019-08-02 |
| 1063976660 | Kelly Erin Mitchell | Nurse Practitioner | 7401 Beaufort Springs Dr, Suite 205, Richmond, VA 23225 | 2019-01-28 |
| 1760977540 | Marchett Hopkins | Counselor | 1601 Skilift Ln, Richmond, VA 23225 | 2018-06-25 |
| 1821582644 | Infinite Solutions Behavioral Services, LLC | Case Management | 6946 Forest Hill Ave Suite B, Richmond, VA 23225 | 2018-06-15 |
| 1922595230 | Andrea Ruth Steegmayer | Registered Nurse | Vcu Health System, 1250 E. Marshall Street, Richmond, VA 23225 | 2018-04-23 |
| 1306340153 | Eric Sheldon Jacobson | Internal Medicine | 2956 Hathaway Rd, Apt. 1101, Richmond, VA 23225 | 2018-03-19 |
| Find all providers in zip 23225 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033600135 | Benjamin Van Tassell | Pharmacist | 410 North 12th Street, Room 660a, Vcu School of Pharmacy, Box 980533, Richmond, VA 23298-0533 | 2018-05-23 |
| 1780117689 | Kwadwo K Ansong | Pharmacist | 11131 Flanker Way, Richmond, TX 77407-1935 | 2017-04-07 |
| 1588074421 | Emily Rutherford | Pharmacist | 2057 Chester Blvd, Richmond, IN 47374 | 2014-04-30 |
| 1841405644 | Sheila Anne Pedigo | Pharmacist | 2129 Waters Mill Pt, Richmond, VA 23235-2914 | 2007-05-14 |
| 1124104088 | Kai I Cheang | Pharmacist | 410 N. 12th St., Rm 454, Richmond, VA 23298-0533 | 2006-10-31 |
| 1124039797 | Brigitte Luong Sicat | Pharmacist | 410 North 12th St, Smith Bldg, Richmond, VA 23298 | 2006-08-10 |
| 1891702270 | William Leighton Rock Jr. | Pharmacist | Hunter Holmes Mcguire Vamc (119f), 1201 Broad Rock Blvd, Richmond, VA 23249 | 2006-08-01 |
| 1710902507 | Karen A Tisdel | Pharmacist | 1201 Broad Rock Blvd # 151, Richmond, VA 23249-0001 | 2006-07-13 |
| 1235167016 | Kimberly Jo Richards | Pharmacist | Pattie A Clay Regional Med Center, 801 Eastern By-pass, Richmond, KY 40475 | 2006-06-29 |
| 1891794756 | Jean-venable Robertson Goode | Pharmacist | 410 N 12th St, Richmond, VA 23298-5062 | 2005-07-21 |
| Find all providers in RICHMOND | ||||
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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.