Healthcare Provider Details

I. General information

NPI: 1699716720
Provider Name (Legal Business Name): JENNIFER MARGARET GRAY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: JENNIFER MARGARET BIEGER PHARMD

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 EMANCIPATION DR
HAMPTON VA
23667-0001
US

IV. Provider business mailing address

3301 MORNING MIST LN
TOANO VA
23168-9629
US

V. Phone/Fax

Practice location:
  • Phone: 757-722-9961
  • Fax: 757-726-6054
Mailing address:
  • Phone: 757-722-9961
  • Fax: 151-726-6054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202205681
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number0202205681
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: