NPIMap

Organization Active NPI

Virginia Cancer Institute Incorporated

  • Pharmacy
  • Richmond, VA
National Provider Identifier
1770936650
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
0201004713 Issued in VA
Legal business name
VIRGINIA CANCER INSTITUTE INCORPORATED
Practice address
8007 Discovery Dr Ste a
Richmond, VA 23229-8605
Phone
(804) 322-1590
Fax
(804) 673-6028
NPI assigned
Jul 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Seaborn McDonald Wade III, MD
Title
Auth Official
Phone
(804) 559-2489

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 0201004713 VA Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

8007 Discovery Dr Ste a
Richmond, VA 23229-8605

Mailing address

7202 Glen Forest Dr Ste 200
Richmond, VA 23226-3780
Phone (804) 673-0134

Other identifiers 2

IdentifierTypeStateIssuer
2160847OtherPK
1770936650MedicaidVA

Other names 1

  • Progressive Pharmacy Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170508000606 VA DME Supplier - Pharmacy 8628048378 Practice locations: Richmond, VA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Virginia Cancer Institute5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1770936650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7202 GLEN FOREST DR STE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263780",
            "telephone_number": "804-673-0134",
            "fax_number": "804-673-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8007 DISCOVERY DR STE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232298605",
            "telephone_number": "804-322-1590",
            "fax_number": "804-673-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA CANCER INSTITUTE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-15",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "SEABORN",
        "authorized_official_middle_name": "MCDONALD",
        "authorized_official_title_or_position": "AUTH OFFICIAL",
        "authorized_official_telephone_number": "804-559-2489",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0201004713",
            "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": "PK",
            "identifier": "2160847",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770936650",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Pharmacy Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Progressive Pharmacy Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.