CHS Inc
Organization Active NPI Community/Retail Pharmacy · Roanoke, VA
NPI 1528035771 · NPPES record last updated Jun 30, 2020
Key facts
- NPI
- 1528035771
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- CHS 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
- Organization subpart
- Yes
- Parent organization (as reported)
- CHS INC
Authorized official
- Name
- Adrian Shawn Reid Wilson
- Title
- Director
- Phone
- (540) 266-6191
Other NPIs on the same Medicare enrollment 4
Corporate family (same tax ID) 10
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| 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 |
National Provider Directory
- Tax ID family
- CHS Inc Ta Carilion Tramb
- Part of
- CHS Inc Ta Carilion Tramb
Locations
2001 Crystal Spring Ave SW
Ste 110
Roanoke, VA 24014
Phone (540) 266-6191
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes | ||
| 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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4819150 | Other | VA | NABP # |
| 1528035771 | Medicaid | VA |
Other names
- Carilion Medical Center Pharmacy, Inc
Other providers in Roanoke, VA
- Kathryn Leigh Stewart Chrisfield
- Kaylie Christensen
- Ashley Paige Christian
- Christinas' Hope LLC
- Chrysalis Disability Services
- CHS Inc
- CHS Inc
- CHS, Inc
- CHS, Inc
- CHS, Inc
All providers in Roanoke, VA · Community/Retail Pharmacy in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.