Organization Active NPI

Colonial Heights Pharmacy Inc

  • Community/Retail Pharmacy
  • Colonial Heights, VA
National Provider Identifier
1538636089
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
COLONIAL HEIGHTS PHARMACY INC
Practice address
2029 Boulevard
Colonial Heights, VA 23834-2309
Phone
(804) 424-4949
Fax
(804) 424-4919
NPI assigned
Nov 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Authorized official

Name
Dr. Rajdeep Prakashsinh Parmar, PHARMD
Title
Owner
Phone
(551) 580-8459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2029 Boulevard
Colonial Heights, VA 23834-2309

Mailing address

2029 Boulevard
Colonial Heights, VA 23834-2309
Phone (804) 424-4949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210219000938 VA Part B Supplier - Mass Immunization (Roster Biller Only) 4385059617 Practice locations: Colonial Heights, VA

National Provider Directory

National Provider Directory
Tax ID family
Colonial Heights Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

16021 Kairos Rd
Ste B1
South Chesterfield, VA 23834

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1538636089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 BOULEVARD",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342309",
            "telephone_number": "804-424-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 BOULEVARD",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342309",
            "telephone_number": "804-424-4949",
            "fax_number": "804-424-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL HEIGHTS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "PARMAR",
        "authorized_official_first_name": "RAJDEEP",
        "authorized_official_middle_name": "PRAKASHSINH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "551-580-8459",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.

Verify at the official NPI Registry.