MEDICARE: GINO AKILI PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	0202213568	VA

General Provider Information

NPI Number	:	1649677550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GINO AKILI PHARMD

Provider Business Mailing Address
First Line	:	100 EMANCIPATION DR
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23667-0001
Country	:	US
Telephone Number	:	757-768-0957
Fax Number	:

Provider Business Practice Location Address
First Line	:	6135 E VIRGINIA BEACH BLVD
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23502-2701
Country	:	US
Telephone Number	:	757-466-7962
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2014
Last Update Date	:	02/27/2025

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