Individual provider Active NPI

Sydney Van Arsdale, PHARMD

  • Pharmacist
  • Roanoke, VA
National Provider Identifier
1497359756
Registry record updated Nov 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202215377 Issued in VA
Practice address
4126 Plantation Rd NE
Roanoke, VA 24012-3136
Phone
(540) 563-4968
Fax
(540) 568-4871
NPI assigned
Nov 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 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 0202215377 VA Primary

Addresses

Primary practice location

4126 Plantation Rd NE
Roanoke, VA 24012-3136

Mailing address

4126 Plantation Rd NE
Roanoke, VA 24012-3136
Phone (540) 563-4968

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CVS VIRGINIA CVS PHARMACY LLC

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
0202215377VAMDPharmacist

Practice roles

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

Organizations & group practices 2

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": "1606435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606435200000",
    "number": "1497359756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 PLANTATION RD NE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240123136",
            "telephone_number": "540-563-4968",
            "fax_number": "540-563-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 PLANTATION RD NE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240123136",
            "telephone_number": "540-563-4968",
            "fax_number": "540-568-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ARSDALE",
        "first_name": "SYDNEY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-27",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202215377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CVS",
            "affiliation": "Y",
            "affiliationName": "VIRGINIA CVS PHARMACY LLC",
            "address_1": "4126 Plantation Rd NE",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240123136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

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