Active NPI
Virginia CVS Pharmacy, L.L.C.
Doing business as CVS Pharmacy #01397
- Pharmacy
- McLean, VA
National Provider Identifier
1568566222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 201001133
- Legal business name
- VIRGINIA CVS PHARMACY, L.L.C.
- Doing business as
- CVS Pharmacy #01397
- Practice address
- 1452 Chain Bridge Rd
McLean, VA 22101-3706 - Phone
- (703) 356-5900
- NPI assigned
- Sep 12, 2006
- Last updated
- Nov 2, 2011
- 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 Relations
- Phone
- (401) 770-2751
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | 201001133 | VA | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
1452 Chain Bridge Rd
McLean, VA 22101-3706
Mailing address
1 CVS Dr
PO Box 1075
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4801393 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| P00754770 | Other | VA | MEDICARE RR |
Other names 1
- CVS PHARMACY #01397
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100804000863 | DC | Part B Supplier - Mass Immunization (Roster Biller Only) | 5193727709 | This NPI is an additional NPI on the enrollment |
| O20100930081922 | VA | DME Supplier - Pharmacy | 5193727709 | Practice locations: MC Lean, 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.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| CVS Pharmacy # 01397 | 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.
Locations
1452 Chain Bridge Rd
McLean, VA 22101
Phone (703) 307-8235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320192000000",
"number": "1568566222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DR",
"address_2": "PO BOX 1075",
"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": "1452 CHAIN BRIDGE RD",
"city": "MCLEAN",
"state": "VA",
"postal_code": "221013706",
"telephone_number": "703-356-5900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIRGINIA CVS PHARMACY, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-12",
"last_updated": "2011-11-02",
"status": "A",
"authorized_official_last_name": "COLBERT",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "DIRECTOR, PAYER RELATIONS",
"authorized_official_telephone_number": "401-770-2751"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "VA",
"license": "201001133",
"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": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "4801393",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00754770",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS PHARMACY #01397",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in McLean, VA
- Vinson Hall Corporation (Arleigh Burke Pavilion)
- Vinson Hall, LLC (Vinson Hall)
- Vinson Hall, LLC (The Sylvestery)
- Vinson Hall, LLC (Arleigh Burke Pavilion)
- Virginia Behavioral Health Associates Inc
- Virginia Health Operations LLC (Newport Academy-Kurtz)
- Virginia Mission Health Acquisition LLC (A Mission for Michael)
- Virginia Psychotherapy Associates, PLLC
- Virginia Vein Care, LLC
- Viriginia Oral Facial & Implant Surgery
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.