NPIMap

Organization Active NPI

Virginia Commonwealth University Health System Authority

  • Community/Retail Pharmacy
  • Henrico, VA
National Provider Identifier
1972026243
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY
Practice address
11958 W Broad St FL 2
Henrico, VA 23233-1007
Phone
(804) 828-5468
NPI assigned
Jul 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Authorized official

Name
Elizabeth Allen
Title
VP Finance and Accounting
Phone
(804) 628-1338

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X Primary
Specialty Pharmacy 3336S0011X 0202211458 VA

Addresses

Primary practice location

11958 W Broad St FL 2
Henrico, VA 23233-1007

Mailing address

PO Box 758997
Baltimore, MD 21275-0001
Phone (804) 628-6643

Other identifiers 2

IdentifierTypeStateIssuer
8506744MedicaidVA
30015174800078MedicaidVA

Other names 1

  • VCU Health Systems NOW Infusion Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medical College of VA35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

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

View all 34

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

11958 W Broad St
Fl 2
Henrico, VA 23233
Phone (804) 828-5468

NPI Registry JSON

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1972026243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 758997",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212750001",
            "telephone_number": "804-628-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11958 W BROAD ST FL 2",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331007",
            "telephone_number": "804-828-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "VP FINANCE AND ACCOUNTING",
        "authorized_official_telephone_number": "804-628-1338"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "VA",
            "license": "0202211458",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8506744",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30015174800078",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VCU Health Systems NOW Infusion Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.