Healthcare Provider Details

I. General information

NPI: 1427992031
Provider Name (Legal Business Name): VIKTORIYA ANDROSOVA RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3498 N 5TH STREET HWY
READING PA
19605-2429
US

IV. Provider business mailing address

3498 N 5TH ST
READING PA
19605-2429
US

V. Phone/Fax

Practice location:
  • Phone: 610-929-9864
  • Fax:
Mailing address:
  • Phone: 610-929-9864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP453634
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS58989
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202218601
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI04082700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: