NPIMap

Organization Active NPI

Virginia Veterans Care Center Pharmacy

  • Long Term Care Pharmacy
  • Roanoke, VA
National Provider Identifier
1063685535
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
0201003706 Issued in VA
Legal business name
VIRGINIA VETERANS CARE CENTER PHARMACY
Doing business as
Virginia Veterans Care Center Pharmacy
Practice address
4550 Shenandoah Ave NW
Roanoke, VA 24017-4749
Phone
(540) 982-2860
Fax
(540) 345-5701
NPI assigned
Apr 7, 2008
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
William Vanthiel
Title
Administrator
Phone
(540) 982-2860

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Long Term Care Pharmacy 3336L0003X 0201003706 VA Primary

Addresses

Primary practice location

4550 Shenandoah Ave NW
Roanoke, VA 24017-4749

Mailing address

4550 Shenandoah Ave NW
Roanoke, VA 24017-4749
Phone (540) 982-2860

Other identifiers 2

IdentifierTypeStateIssuer
008506973MedicaidVA
2105086OtherPK

Other names 1

  • VIRGINIA VETERANS CARE CENTER PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cape Cod Anesthesia Associates456 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 9

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

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1063685535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 SHENANDOAH AVE NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240174749",
            "telephone_number": "540-982-2860",
            "fax_number": "540-345-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 SHENANDOAH AVE NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240174749",
            "telephone_number": "540-982-2860",
            "fax_number": "540-345-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA VETERANS CARE CENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "VANTHIEL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "540-982-2860"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "VA",
            "license": "0201003706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008506973",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2105086",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIRGINIA VETERANS CARE CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.