BOONSANONG ANN LUCKTONG
NPI 1114495090
Pharmacist - Ambulatory Care in Roanoke, VA

Active since November 08, 2018
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014(540) 266-6288 Get Directions Write a Review

NPPES record last updated: November 8, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Boonsanong Ann Lucktong NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOONSANONG ANN LUCKTONG (NPI 1114495090) is an individual ambulatory care provider in Roanoke, Virginia, licensed in Virginia (0202206409) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1114495090
Entity TypeIndividualFemale
Primary Taxonomy1835P2201X
Provider Legal NameBOONSANONG ANN LUCKTONG
Location Address1906 BELLEVIEW AVE SERoanoke, VA 24014-1838
Mailing Address1906 Belleview Ave SeRoanoke, VA 24014-1838 · (540) 266-6288
Sole ProprietorNo
Enumeration DateNovember 8, 2018
NPI 1114495090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · Ambulatory CarePharmacy Service Providers
Taxonomy Code1835P2201X
License Licensed in VA · 0202206409
Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community.

1906 BELLEVIEW AVE SE, Roanoke, VA 24014

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Anesthesiology
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Family Medicine
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Anesthesiology
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boonsanong Lucktong's NPI number?

The NPI number for Boonsanong Lucktong is 1114495090. It was assigned to this individual provider in the NPPES registry on November 8, 2018.

Where is Boonsanong Lucktong located?

Boonsanong Lucktong practices at 1906 Belleview Ave SE, Roanoke, VA 24014. The listed phone number is (540) 266-6288.

What is Boonsanong Lucktong's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Ambulatory Care, with taxonomy code 1835P2201X.

When was this NPI record last updated?

The NPPES record for Boonsanong Lucktong was last updated on November 8, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.