Healthcare Provider Details

I. General information

NPI: 1528298304
Provider Name (Legal Business Name): MARIA PHAM DEMARCHI PHARMD.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2009
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 BROAD ROCK BLVD
RICHMOND VA
23249-0001
US

IV. Provider business mailing address

1201 BROAD ROCK BLVD DEPT 119
RICHMOND VA
23249-0001
US

V. Phone/Fax

Practice location:
  • Phone: 804-585-4644
  • Fax:
Mailing address:
  • Phone: 804-585-4644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number11827
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number11827
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number11827
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: