NPIMap

Organization Active NPI

Central Virginia Health Services

  • Pharmacy
  • Petersburg, VA
National Provider Identifier
1467413880
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
0201001944 Issued in VA
Legal business name
CENTRAL VIRGINIA HEALTH SERVICES
Practice address
321 C Poplar Drive
Petersburg, VA 23803
Phone
(804) 733-5591
Fax
(804) 957-5850
NPI assigned
Mar 28, 2006
Last updated
Jul 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Roderick Manifold
Title
Executive Director
Phone
(434) 581-3273

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 0201001944 VA Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

321 C Poplar Drive
Petersburg, VA 23803

Mailing address

321 C Poplar Drive
Petersburg, VA 23805
Phone (804) 733-5591

Other identifiers 1

IdentifierTypeStateIssuer
010097185MedicaidVA

Other names 1

  • Health Care Alliance Pharmacy Other name

National Provider Directory

National Provider Directory
Tax ID family
Cental VA Heaklth Servi24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECJBDA

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1467413880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 C POPLAR DRIVE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "23805",
            "telephone_number": "804-733-5591",
            "fax_number": "804-957-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 C POPLAR DRIVE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "23803",
            "telephone_number": "804-733-5591",
            "fax_number": "804-957-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VIRGINIA HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "MANIFOLD",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "434-581-3273"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0201001944",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010097185",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Care Alliance Pharmacy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Health Care Alliance Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.