Active NPI
CHS Inc
Doing business as Carilion Medical Center Pharmacy, Inc
- Community/Retail Pharmacy
- Roanoke, VA
National Provider Identifier
1528035771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- CHS INC
- Doing business as
- Carilion Medical Center Pharmacy, Inc
- Practice address
- 2001 Crystal Spring Ave SW
Suite 110 Carilion Medical Center Pharmacy, Inc
Roanoke, VA 24014 - Phone
- (540) 853-0906
- Fax
- (540) 853-0910
- NPI assigned
- Mar 7, 2006
- Last updated
- Jun 30, 2020
- Organization subpart
- Yes
- Parent organization
- CHS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adrian Shawn Reid Wilson
- Title
- Director
- Phone
- (540) 266-6191
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X | 0201002117 | VA |
Addresses
Primary practice location
2001 Crystal Spring Ave SW
Suite 110 Carilion Medical Center Pharmacy, Inc
Roanoke, VA 24014
Mailing address
2001 Crystal Spring Ave SW
Suite 110 Carilion Medical Center Pharmacy, Inc
Roanoke, VA 24014
Phone (540) 853-0906
Other names 1
- Carilion Medical Center Pharmacy, Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170328001364 | VA | Part B Supplier - Mass Immunization (Roster Biller Only) | 3476452533 |
4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Salem, VA; Roanoke, VA; Christiansburg, VA |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Carilion Clinic Pharmacy Salem
- Community/Retail Pharmacy
- Salem, VA
- NPI 1538493382
O20170328001364
-
dba Carilion Clinic Pharmacy Roanoke Memorial Hospital
- Community/Retail Pharmacy
- Roanoke, VA
- NPI 1700162930
O20170328001364
-
dba Carilion Clinic Pharmacy-New River Valley
- Community/Retail Pharmacy
- Christiansburg, VA
- NPI 1093748741
O20170328001364
National Provider Directory
National Provider Directory- Tax ID family
- Carillion Behavioral He
- Part of
- Carillion Behavioral He
Other organizations with this tax ID 10
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Roanoke, VA
- NPI 1619253846
-
dba Carilion Clinic Pharmacy Roanoke Memorial Hospital
- Community/Retail Pharmacy
- Roanoke, VA
- NPI 1700162930
-
dba Carilion Clinic Pharmacy-New River Valley
- Community/Retail Pharmacy
- Christiansburg, VA
- NPI 1093748741
-
dba Carilion Clinic Pharmacy Specialty Pharmacy
- Specialty Pharmacy
- Roanoke, VA
- NPI 1114685286
-
dba Carilion Clinic Pharmacy Specialty Pharmacy
- Community/Retail Pharmacy
- Roanoke, VA
- NPI 1629722616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593475200000",
"number": "1528035771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 CRYSTAL SPRING AVE SW",
"address_2": "SUITE 110 CARILION MEDICAL CENTER PHARMACY, INC",
"city": "ROANOKE",
"state": "VA",
"postal_code": "24014",
"telephone_number": "540-853-0906",
"fax_number": "540-853-0910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 CRYSTAL SPRING AVE SW",
"address_2": "SUITE 110 CARILION MEDICAL CENTER PHARMACY, INC",
"city": "ROANOKE",
"state": "VA",
"postal_code": "24014",
"telephone_number": "540-853-0906",
"fax_number": "540-853-0910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CHS INC",
"enumeration_date": "2006-03-07",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "ADRIAN",
"authorized_official_middle_name": "SHAWN REID",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "540-266-6191"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "VA",
"license": "0201002117",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Carilion Medical Center Pharmacy, Inc",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Carilion Medical Center Pharmacy, Inc",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Roanoke, VA
- Kathryn Leigh Stewart Chrisfield, NP-C
- Kaylie Christensen, PA-C
- Ashley Paige Christian, FNP
- Christinas' Hope LLC (Christinas' Hope)
- Chrysalis Disability Services (Chrysalis Roanoke)
- CHS Inc
- CHS Inc (Carilion Clinic Pharmacy Roanoke Memorial Hospital)
- CHS, Inc (Carilion Clinic Pharmacy Specialty Pharmacy)
- CHS, Inc (Medical Center Pharmacy)
- CHS, Inc (Carilion Clinic Pharmacy Specialty Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.