Organization Active NPI

CHS, Inc

  • Community/Retail Pharmacy
  • Christiansburg, VA
National Provider Identifier
1093748741
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201002250 Issued in VA
Legal business name
CHS, INC
Practice address
2900 Tyler Rd
Suite 1890
Christiansburg, VA 24073-6374
Phone
(540) 639-1647
Fax
(540) 639-0151
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Authorized official

Name
Adrian Shawn Reid Wilson
Title
Director
Phone
(540) 266-6191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 0201002250 VA Primary

Addresses

Primary practice location

2900 Tyler Rd
Suite 1890
Christiansburg, VA 24073-6374

Mailing address

2001 Crystal Spring Ave SW
Roanoke, VA 24014-2462
Phone (540) 676-7053

Other identifiers 1

IdentifierTypeStateIssuer
008514909MedicaidVA

Other names 1

  • CARILION CLINIC PHARMACY-NEW RIVER VALLEY Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pharmacy@carilionclinic.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170328001364 VA Part B Supplier - Mass Immunization (Roster Biller Only) 3476452533 4 other NPIs on this enrollment
Practice locations: Salem, VA; Roanoke, VA; Christiansburg, VA

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory
Tax ID family
CHS Inc Ta Carilion Tramb11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

2900 Tyler Rd
Ste 1890
Christiansburg, VA 24073
Phone (540) 639-1647

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1093748741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 CRYSTAL SPRING AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240142462",
            "telephone_number": "540-676-7053",
            "fax_number": "540-639-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 TYLER RD",
            "address_2": "SUITE 1890",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736374",
            "telephone_number": "540-639-1647",
            "fax_number": "540-639-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "SHAWN REID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "540-266-6191"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201002250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008514909",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pharmacy@carilionclinic.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2900 Tyler Rd",
            "address_2": "Suite 1890",
            "city": "Christiansburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240736374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CARILION CLINIC PHARMACY-NEW RIVER VALLEY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Christiansburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.