Active NPI
Virginia CVS Pharmacy LLC
Doing business as CVS Pharmacy #07503
- Pharmacy
- Roanoke, VA
National Provider Identifier
1700989449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 201002248
- Legal business name
- VIRGINIA CVS PHARMACY LLC
- Doing business as
- CVS Pharmacy #07503
- Practice address
- 3909 Challenger Ave
Roanoke, VA 24012-6733 - Phone
- (540) 977-1376
- NPI assigned
- Sep 7, 2006
- Last updated
- Aug 14, 2026
- 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 | 201002248 | VA | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
3909 Challenger Ave
Roanoke, VA 24012-6733
Mailing address
1 CVS Dr
Box 1075
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other names 1
- CVS PHARMACY #07503
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 |
| O20110725000558 | VA | DME Supplier - Pharmacy | 5193727709 | Practice locations: Roanoke, 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 |
|---|---|---|---|
| 49D2283986 | Virginia CVS Pharmacy, LLC Dba | Certificate of waiver | Jun 14, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| CVS Pharmacy #07503 | Immunosuppressive 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|Urological Supplies|Ent… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Virginia CVS Pharmacy LLC
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
3425 Orange Ave NE
Roanoke, VA 24012
Phone (540) 345-1794
3909 Challenger Ave
Roanoke, VA 24012
Phone (540) 345-0794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786665600000",
"number": "1700989449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DR",
"address_2": "BOX 1075",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028956146",
"telephone_number": "401-765-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3909 CHALLENGER AVE",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240126733",
"telephone_number": "540-977-1376"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIRGINIA CVS PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-07",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"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": "201002248",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS PHARMACY #07503",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Roanoke, VA
- Virginia CVS Pharmacy LLC (CVS Pharmacy # 07577)
- Virginia CVS Pharmacy LLC (CVS Pharmacy # 03949)
- Virginia CVS Pharmacy LLC (CVS Pharmacy #06285)
- Virginia CVS Pharmacy LLC (CVS Pharmacy # 06284)
- Virginia CVS Pharmacy LLC (CVS Pharmacy # 04378)
- Virginia CVS Pharmacy LLC (CVS Pharmacy #16523)
- Virginia CVS Pharmacy, L.L.C. (CVS Pharmacy #06292)
- Virginia CVS Pharmacy, L.L.C. (CVS Pharmacy #06296)
- Virginia Harm Reduction Coalition
- Virginia Homecare, LLC (Advanced Health Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.