Provider Demographics
NPI:1568532935
Name:RAYFIELD, WILLIAM BERKLEY (RPH)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:BERKLEY
Last Name:RAYFIELD
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8209 WHIPPOORWILL RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-3039
Mailing Address - Country:US
Mailing Address - Phone:804-746-4049
Mailing Address - Fax:844-731-3122
Practice Address - Street 1:8209 WHIPPOORWILL RD
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-3039
Practice Address - Country:US
Practice Address - Phone:804-746-4049
Practice Address - Fax:844-731-3122
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202012172183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA8509301Medicaid