Healthcare Provider Details

I. General information

NPI: 1396043907
Provider Name (Legal Business Name): BARNEY RAY OSTERBIND BS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/05/2011
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10901 W BROAD ST
GLEN ALLEN VA
23060-5935
US

IV. Provider business mailing address

10901 W BROAD ST
GLEN ALLEN VA
23060-5935
US

V. Phone/Fax

Practice location:
  • Phone: 804-935-6916
  • Fax: 804-935-8639
Mailing address:
  • Phone: 804-935-6916
  • Fax: 804-935-8639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202010097
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: