Active NPI
Lisa Carol McClanahan
- Pharmacist
- Montpelier, VA
National Provider Identifier
1801483797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10086
- Practice address
- 16641 Mountain Rd
Montpelier, VA 23192-2660 - Phone
- (804) 883-5668
- NPI assigned
- Dec 24, 2020
- Last updated
- Dec 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10086 | VA | Primary |
Addresses
Primary practice location
16641 Mountain Rd
Montpelier, VA 23192-2660
Mailing address
16641 Mountain Rd
Montpelier, VA 23192-2660
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Address | ||
| Direct Messaging Address | Rx10770@cvshealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10086 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia CVS Pharmacy LLC | Past | Accepting new patients | |
| Virginia CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Interoperability endpoints
- rx10770@cvshealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608768000000",
"number": "1801483797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16641 MOUNTAIN RD",
"city": "MONTPELIER",
"state": "VA",
"postal_code": "231922660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16641 MOUNTAIN RD",
"city": "MONTPELIER",
"state": "VA",
"postal_code": "231922660",
"telephone_number": "804-883-5668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLANAHAN",
"first_name": "LISA",
"middle_name": "CAROL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-24",
"last_updated": "2020-12-24",
"certification_date": "2020-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "10086",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Address",
"affiliation": "N",
"address_1": "16641 Mountain Rd",
"city": "Montpelier",
"state": "VA",
"country_code": "US",
"postal_code": "231922660",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Rx10770@cvshealth.com",
"affiliation": "N",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "16641 Mountain Rd",
"city": "Montpelier",
"state": "VA",
"country_code": "US",
"postal_code": "231922660",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Montpelier, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.