Healthcare Provider Details

I. General information

NPI: 1588056477
Provider Name (Legal Business Name): CHRISTINA GAYLE PYATT PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINA GAYLE WADE

II. Dates (important events)

Enumeration Date: 03/02/2015
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1216 GREENBRIER PKWY
CHESAPEAKE VA
23320-2899
US

IV. Provider business mailing address

1216 GREENBRIER PKWY
CHESAPEAKE VA
23320-2899
US

V. Phone/Fax

Practice location:
  • Phone: 757-382-0500
  • Fax: 757-436-5609
Mailing address:
  • Phone: 757-382-0500
  • Fax: 757-436-5609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17559
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number0202216946
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: