Active NPI
Virginia CVS Pharmacy LLC
Doing business as CVS Pharmacy # 07365
- Pharmacy
- Bristol, VA
National Provider Identifier
1083717722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 0201002228
- Legal business name
- VIRGINIA CVS PHARMACY LLC
- Doing business as
- CVS Pharmacy # 07365
- Practice address
- 31 E Valley Dr
Bristol, VA 24201-2822 - Phone
- (276) 669-4640
- NPI assigned
- Sep 7, 2006
- Last updated
- Apr 29, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Pharmacy | 333600000X | 0201002228 | VA | Primary |
| Community/Retail Pharmacy | 3336C0003X | NU |
Addresses
Primary practice location
31 E Valley Dr
Bristol, VA 24201-2822
Mailing address
1 CVS Dr
Box 1075
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other names 1
- CVS PHARMACY # 07365
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070212000316 | VA | Part B Supplier - Mass Immunization (Roster Biller Only) | 5193727709 | This NPI is an additional NPI on the enrollment |
| O20110627000163 | VA | DME Supplier - Pharmacy | 5193727709 | Practice locations: Bristol, VA |
National Provider Directory
National Provider Directory- Tax ID family
- Virginia CVS Pharmacy L L C
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.
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777420800000",
"number": "1083717722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DR",
"address_2": "BOX 1075",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028956146",
"telephone_number": "401-765-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 E VALLEY DR",
"city": "BRISTOL",
"state": "VA",
"postal_code": "242012822",
"telephone_number": "276-669-4640"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIRGINIA CVS PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-07",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"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": "NU",
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "VA",
"license": "0201002228",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS PHARMACY # 07365",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Bristol, VA
- Olivia Kate Uelhof, M.S., CCC-SLP
- John Millard Vandeventer, PHARM. D.
- Joann Wolfe Vaughn, FNP
- Melissa D Venoy, FNP
- Victoria C. Bettis, DDS,LLC
- Virginia CVS Pharmacy LLC (Target Pharmacy)
- Vistalink Health Laboratories LLC
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2089)
- Wal-Mart Stores East, LP (Vision Center 30-2089)
- Walgreen Co (Walgreens #18318)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.