Healthcare Provider Details

I. General information

NPI: 1215257118
Provider Name (Legal Business Name): FLOYD DAVID WHITEHURST RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2010
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1017 UNIVERSITY BLVD
SUFFOLK VA
23435-0048
US

IV. Provider business mailing address

1017 UNIVERSITY BLVD
SUFFOLK VA
23435-0048
US

V. Phone/Fax

Practice location:
  • Phone: 757-335-4537
  • Fax: 757-335-4539
Mailing address:
  • Phone: 757-335-4537
  • Fax: 757-335-4539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number0202009799
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: