NPIMap

Organization Active NPI

Virginia Commonweatlh University Student Health Pharmacy

  • Clinic Pharmacy
  • Richmond, VA
National Provider Identifier
1174745616
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
0201002315 Issued in VA
Legal business name
VIRGINIA COMMONWEATLH UNIVERSITY STUDENT HEALTH PHARMACY
Practice address
1300 W. Broad Street
Suite 2200
Richmond, VA 23284
Phone
(804) 828-7542
Fax
(804) 828-1093
NPI assigned
May 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cathy B Moolhuyzen, RPH
Title
Director of Pharmacy Pic
Phone
(804) 828-7542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 0201002315 VA Primary

Addresses

Primary practice location

1300 W. Broad Street
Suite 2200
Richmond, VA 23284

Mailing address

1300 W. Broad Street
Suite 2200
Richmond, VA 23284
Phone (804) 828-7542

National Provider Directory

National Provider Directory
Tax ID family
Virginia Commonwealth University9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

1300 W Broad St
Ste 2200
Richmond, VA 23284
Phone (804) 828-8828

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174745616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W. BROAD STREET",
            "address_2": "SUITE 2200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23284",
            "telephone_number": "804-828-7542",
            "fax_number": "804-828-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W. BROAD STREET",
            "address_2": "SUITE 2200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23284",
            "telephone_number": "804-828-7542",
            "fax_number": "804-828-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA COMMONWEATLH UNIVERSITY STUDENT HEALTH PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOOLHUYZEN",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY PIC",
        "authorized_official_telephone_number": "804-828-7542",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "VA",
            "license": "0201002315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.