Commonshare, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

COMMONSHARE, INC

Practice address

1602 Skipwith Rd Ste 201
Henrico, VA 23229-5205

Phone

(804) 416-6255

Fax

(804) 967-3999

NPI assigned

Jan 6, 2022

Last updated

Dec 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William M Weimer II

Title

Executive Director

Phone

(804) 416-6255

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Commonshare HDH Other name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Commonshare, Inc

  dba Commonshare

  • Health Service Clinic/Center
  • Richmond, VA
  • NPI 1861048555

  O20200825003750

  Same enrollment

Tax ID family

Commonshare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Commonshare, Inc

  dba Commonshare

  • Health Service Clinic/Center
  • Richmond, VA
  • NPI 1861048555
  NPD tax ID

Locations

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1073274502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 SKIPWITH RD STE 201",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232295205",
            "telephone_number": "804-416-6255",
            "fax_number": "804-967-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 SKIPWITH RD STE 201",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232295205",
            "telephone_number": "804-416-6255",
            "fax_number": "804-967-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONSHARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "WEIMER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-416-6255",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073274502",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Commonshare HDH",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Commonshare HDH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pharmacy in Henrico, VA
• Providers in Henrico, VA by specialty
• Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.