Active NPI
Virginia CVS Pharmacy, L.L.C.
Doing business as CVS Pharmacy # 07081
- Pharmacy
- Newport News, VA
National Provider Identifier
1548492689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- VIRGINIA CVS PHARMACY, L.L.C.
- Doing business as
- CVS Pharmacy # 07081
- Practice address
- 11127 Jefferson Ave
Newport News, VA 23601-2528 - Phone
- (401) 765-1500
- NPI assigned
- Aug 21, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Colbert
- Title
- Director Payer Relaations
- Phone
- (401) 766-1500
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
11127 Jefferson Ave
Newport News, VA 23601-2528
Mailing address
1 CVS Dr
Box - 1075 - Pharmacy Enrollments
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4841830 | Other | VA | NCPDP |
| 1548492689 | Medicaid | VA |
Other names 1
- CVS PHARMACY # 07081
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070212000316 | VA | Part B Supplier - Mass Immunization (Roster Biller Only) | 5193727709 | This NPI is an additional NPI on the enrollment |
| O20100930020163 | VA | DME Supplier - Pharmacy | 5193727709 | Practice locations: Newport News, VA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2284554 | Virginia CVS Pharmacy, LLC Dba | Certificate of waiver | Jun 25, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| CVS Pharmacy #07081 | Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Ostomy Supplies|Urologic… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Virginia CVS Pharmacy L L C
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405555200000",
"number": "1548492689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DR",
"address_2": "BOX - 1075 - PHARMACY ENROLLMENTS",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028956146",
"telephone_number": "401-765-1500",
"fax_number": "401-770-7108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11127 JEFFERSON AVE",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236012528",
"telephone_number": "401-765-1500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIRGINIA CVS PHARMACY, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-21",
"last_updated": "2014-07-17",
"status": "A",
"authorized_official_last_name": "COLBERT",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "DIRECTOR PAYER RELAATIONS",
"authorized_official_telephone_number": "401-766-1500"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "4841830",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1548492689",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS PHARMACY # 07081",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Newport News, VA
- Koren Lea Virella, LCSW
- Virginia Anesthesia and Perioperative Care Specialists LLC
- Virginia Consumer-Directed Services
- Virginia CVS Pharmacy LLC (CVS Pharmacy #16477)
- Virginia CVS Pharmacy LLC (CVS Pharmacy # 10453)
- Virginia CVS Pharmacy, L.L.C. (CVS Pharmacy # 08497)
- Virginia Health Enterprises, L.L.C.
- Virginia Health Home Care, LLC
- Virginia Health Hospice LLC
- Virginia Health Rehabilitation Agency, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.