Individual provider Active NPI

Grace Chu, RPH

  • Pharmacist
  • Reston, VA
National Provider Identifier
1295339000
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202218040 Issued in VA
Practice address
1906 Reston Metro PLZ Ste 100
Reston, VA 20190-5231
Phone
(703) 234-2970
Fax
(571) 397-3524
NPI assigned
Nov 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202218040 VA Primary

Addresses

Primary practice location

1906 Reston Metro PLZ Ste 100
Reston, VA 20190-5231

Mailing address

1906 Reston Metro PLZ Ste 100
Reston, VA 20190-5231
Phone (703) 234-2970

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RX10971@CVSHealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
0202218040VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia CVS Pharmacy, L.L.C. PastSince Nov 29, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rx10971@cvshealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1295339000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 RESTON METRO PLZ STE 100",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905231",
            "telephone_number": "703-234-2970",
            "fax_number": "571-397-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 RESTON METRO PLZ STE 100",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905231",
            "telephone_number": "703-234-2970",
            "fax_number": "571-397-3524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "GRACE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202218040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RX10971@CVSHealth.com",
            "affiliation": "N",
            "address_1": "1906 Reston Metro Plz Ste 100",
            "city": "Reston",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201905231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.