Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin Ray Deshazo, PHARMACYTECHNICIAN

Individual provider Pharmacy Technician · NPI 1497554414

Kevin Ray Deshazo, PHARMACYTECHNICIAN is a Pharmacy Technician in Fredericksburg, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2025

Practice location Address checks out

4508 Mine Rd
Fredericksburg, VA 22408-2616
Phone: (540) 845-5525
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy Technician (primary) Taxonomy 183700000X · Licence 0230022201 (VA)

Record details

NPI number1497554414
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMACYTECHNICIAN
Sole proprietorYes
NPI enumeratedMarch 11, 2025
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025

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