NPIMap

Organization Active NPI

Virginia CVS Pharmacy, L.L.C.

Doing business as CVS Pharmacy #01551

  • Pharmacy
  • Charlottesville, VA
National Provider Identifier
1053415711
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
201001495 Issued in VA
Legal business name
VIRGINIA CVS PHARMACY, L.L.C.
Doing business as
CVS Pharmacy #01551
Practice address
1341 Long St
Charlottesville, VA 22901-4935
Phone
(434) 296-0156
NPI assigned
Sep 12, 2006
Last updated
Jan 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Susan Colbert
Title
Director, Payer Relations
Phone
(401) 770-2751

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X 201001495 VA Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

1341 Long St
Charlottesville, VA 22901-4935

Mailing address

1 CVS Dr
PO Box 1075
Woonsocket, RI 02895-6146
Phone (401) 765-1500

Other identifiers 2

IdentifierTypeStateIssuer
P00754775OtherMEDICARE RR
4814477OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • CVS PHARMACY #01551 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070212000316 VA Part B Supplier - Mass Immunization (Roster Biller Only) 5193727709 This NPI is an additional NPI on the enrollment
O20100930036661 VA DME Supplier - Pharmacy 5193727709 Practice locations: Charlottesville, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
CVS Pharmacy # 015511341 Long Street, Charlottesville, VA 22901-4935(434) 296-0156 Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Ostomy Supplies|Urologic… Does not accept assignmentParticipating since Dec 27, 2024

National Provider Directory

National Provider Directory
Tax ID family
Virginia CVS Pharmacy L L C339 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 29)

3133 Lee Hwy
Arlington, VA 22201
Phone (703) 522-0260

6404 Williamsburg Blvd
Arlington, VA 22207
Phone (703) 532-4121

1133 5th St SW
Charlottesvle, VA 22902
Phone (434) 979-1441

2537 Weir Rd
Chester, VA 23831
Phone (804) 796-9886

150 Madison Rd
Culpeper, VA 22701
Phone (540) 328-1762

10390 Willard Way
Fairfax, VA 22030
Phone (703) 591-0060

1150 W Broad St
Falls Church, VA 22046
Phone (703) 534-4500

6164 Arlington Blvd
Falls Church, VA 22044
Phone (703) 533-0636

8124 Arlington Blvd
Falls Church, VA 22042
Phone (703) 560-7280

10809 Tidewater Trl
Fredericksburg, VA 22408
Phone (540) 368-3390

450 Chatham Heights Rd
Fredericksburg, VA 22405
Phone (540) 373-3313

5832 Harrison Rd
Fredericksburg, VA 22407
Phone (540) 710-2426

5832 Harrison Rd
#3
Fredericksburg, VA 22407
Phone (540) 710-2426

9871 Georgetown Pike
Great Falls, VA 22066
Phone (703) 759-2428

780 Martin Luther King Jr Way
Harrisonburg, VA 22801
Phone (540) 434-8916

1301 E Nine Mile Rd
Highland Springs, VA 23075
Phone (804) 737-6493

60 S Airport Dr
Highland Springs, VA 23075
Phone (804) 737-6493

9200 Centreville Rd
Manassas, VA 20110
Phone (703) 368-9146

2912 Chain Bridge Rd
Oakton, VA 22124
Phone (703) 281-4444

25201 Lankford Hwy
Onley, VA 23418
Phone (757) 787-1810

2738 W Broad St
Richmond, VA 23220
Phone (804) 359-2497

3515 W Cary St
Richmond, VA 23221
Phone (804) 355-4913

5670 Brook Rd
Richmond, VA 23227
Phone (804) 264-3317

1100 Wilson Blvd
Rosslyn, VA 22209
Phone (703) 243-0036

8928 Burke Lake Rd
Springfield, VA 22151
Phone (703) 589-3347

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1053415711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "PO BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "401-765-1500",
            "fax_number": "401-770-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 LONG ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229014935",
            "telephone_number": "434-296-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA CVS PHARMACY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "DIRECTOR, PAYER RELATIONS",
        "authorized_official_telephone_number": "401-770-2751"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "201001495",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00754775",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4814477",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY #01551",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CVS PHARMACY #01551",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.