Active NPI
Virginia CVS Pharmacy LLC
Doing business as CVS Pharmacy #16426
- Pharmacy
- North Chesterfield, VA
National Provider Identifier
1417979196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- VIRGINIA CVS PHARMACY LLC
- Doing business as
- CVS Pharmacy #16426
- Practice address
- 11301 Midlothian Tpke
North Chesterfield, VA 23235-4715 - Phone
- (804) 897-5245
- Fax
- (804) 893-8392
- NPI assigned
- Jul 24, 2006
- Last updated
- Nov 30, 2016
- 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
- Sr. Director, Payer Relations
- Phone
- (401) 770-2751
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X | 210100344 | VA |
Addresses
Primary practice location
11301 Midlothian Tpke
North Chesterfield, VA 23235-4715
Mailing address
1 CVS Dr
Mail Code 1090
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2107255 | Other | PK | |
| 8512167 | Medicaid | VA |
Other names 1
- CVS Pharmacy #16426
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 |
| O20161117000181 | VA | DME Supplier - Pharmacy | 5193727709 | Practice locations: North Chesterfield, VA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Virginia CVS Pharmacy LLC | Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Ostomy Supplies|Urologic… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Virginia CVS Pharmacy LLC
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.
Locations
11301 Midlothian Tpke
North Chesterfield, VA 23235
Phone (804) 386-4478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1480464000000",
"number": "1417979196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DR",
"address_2": "MAIL CODE 1090",
"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": "11301 MIDLOTHIAN TPKE",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232354715",
"telephone_number": "804-897-5245",
"fax_number": "804-893-8392"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIRGINIA CVS PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-24",
"last_updated": "2016-11-30",
"status": "A",
"authorized_official_last_name": "COLBERT",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "SR. DIRECTOR, PAYER RELATIONS",
"authorized_official_telephone_number": "401-770-2751"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "VA",
"license": "210100344",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2107255",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8512167",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS Pharmacy #16426",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in North Chesterfield, VA
- Virginia Allergy Treatment Center PLLC
- Virginia Arrhythmia Consultants PLLC
- Virginia Cardiovascular Imaging, Corp
- Virginia Commonwealth Solutions, LLC
- Virginia Counseling Service, LLC
- Virginia CVS Pharmacy LLC (CVS Pharmacy #03328)
- Virginia CVS Pharmacy, L.L.C. (CVS Pharmacy # 02706)
- Virginia Ear Nose & Throat Associates PC
- Virginia Eye Health Partners, LLC
- Virginia Family Eye Care PLLC (Virginia Family Eye Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.