Provider Demographics
NPI:1114294352
Name:JONES, BRIAN M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:M
Last Name:JONES
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12750 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23602-4318
Mailing Address - Country:US
Mailing Address - Phone:757-833-0339
Mailing Address - Fax:757-833-3017
Practice Address - Street 1:12750 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602-4318
Practice Address - Country:US
Practice Address - Phone:757-833-0339
Practice Address - Fax:757-833-3017
Is Sole Proprietor?:No
Enumeration Date:2011-11-16
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202205826183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist