Healthcare Provider Details

I. General information

NPI: 1437014875
Provider Name (Legal Business Name): APRYL NACOLE PEDDI PHARMD, BCACP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6605 W BROAD ST
RICHMOND VA
23230-1714
US

IV. Provider business mailing address

410 N 12TH ST
RICHMOND VA
23298-5009
US

V. Phone/Fax

Practice location:
  • Phone: 804-346-4141
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number0202216992
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: