KEVIN RAY DESHAZO PHARMACY TECHNICIAN
NPI 1497554414
Pharmacy Technician in Fredericksburg, VA

Active since March 11, 2025
4508 MINE RD, FREDERICKSBURG, VA 22408(540) 845-5525 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kevin Ray Deshazo Pharmacy Technician NPPES

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

KEVIN RAY DESHAZO PHARMACY TECHNICIAN (NPI 1497554414) is an individual pharmacy technician in Fredericksburg, Virginia, licensed in Virginia (0230022201) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1497554414
Entity TypeIndividualMale
Primary Taxonomy183700000X
Provider Legal NameKEVIN RAY DESHAZOCredential: PHARMACY TECHNICIAN
Location Address4508 MINE RDFredericksburg, VA 22408-2616
Mailing Address4508 Mine RdFredericksburg, VA 22408-2616 · (540) 845-5525
Sole ProprietorYes
Enumeration DateMarch 11, 2025
NPPES CertifiedMarch 11, 2025
NPI 1497554414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy TechnicianPharmacy Service Providers
Taxonomy Code183700000X
License Licensed in VA · 0230022201
Definition
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.
4508 MINE RD, Fredericksburg, VA 22408

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 Kevin Deshazo's NPI number?

The NPI number for Kevin Deshazo is 1497554414. It was assigned to this individual provider in the NPPES registry on March 11, 2025.

Where is Kevin Deshazo located?

Kevin Deshazo practices at 4508 Mine Rd, Fredericksburg, VA 22408. The listed phone number is (540) 845-5525.

What is Kevin Deshazo's specialty?

The primary specialty registered for this NPI is Pharmacy Technician with taxonomy code 183700000X.

When was this NPI record last updated?

The NPPES record for Kevin Deshazo was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.