Healthcare Provider Details

I. General information

NPI: 1760306013
Provider Name (Legal Business Name): CAMERON IRENE SCHMADER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2026
Last Update Date: 08/08/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 GRESHAM DR
NORFOLK VA
23507-1904
US

IV. Provider business mailing address

2709 AZALEA GARDEN RD APT B3
NORFOLK VA
23513-2643
US

V. Phone/Fax

Practice location:
  • Phone: 814-319-8430
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202223799
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: