CHS Inc
Organization Active NPI Community/Retail Pharmacy · Roanoke, VA
NPI 1619253846 · NPPES record last updated Jun 30, 2020
Key facts
- NPI
- 1619253846
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 0201004435 (VA)
- Legal business name
- CHS INC
- Practice address
- 3 Riverside Circle Ground Floor
Roanoke, VA 24016 - Phone
- (540) 526-1450
- Fax
- (540) 985-9614
- NPI assigned
- Nov 2, 2011
- Organization subpart
- No
Authorized official
- Name
- Adrian Wilson, PHARMD
- Title
- Director
- Phone
- (540) 266-6191
Other NPIs on the same Medicare enrollment 4
Corporate family (same tax ID) 10
Member organizations 2
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 0201004435 | VA | Yes |
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
3 Riverside Circle Ground Floor
Roanoke, VA 24016
Mailing address
3 Riverside Circle Ground Floor
Roanoke, VA 24016
Phone (540) 526-1450
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619253846 | Medicaid | VA | |
| 2132436 | Other | PK |
Other providers in Roanoke, VA
- Kaylie Christensen
- Ashley Paige Christian
- Christinas' Hope LLC
- Chrysalis Disability Services
- CHS Inc
- CHS Inc
- CHS, Inc
- CHS, Inc
- CHS, Inc
- Maria Chulkov
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.