Provider Demographics
NPI:1689278921
Name:SCHIFRIN, JEFFREY MILLS
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:MILLS
Last Name:SCHIFRIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:818 GREENSBORO AVE
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-4731
Mailing Address - Country:US
Mailing Address - Phone:757-285-8498
Mailing Address - Fax:
Practice Address - Street 1:818 GREENSBORO AVE
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-4731
Practice Address - Country:US
Practice Address - Phone:757-285-8498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-27
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202011129183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA020211129OtherVIRGINIA BOARD OF PHARMACY
VA0202011129OtherVIRGINIA BOARD OF PHARMACY