Virginia CVS Pharmacy LLC
Organization Active NPI Pharmacy · Great Falls, VA
NPI 1992291256 · NPPES record last updated Nov 28, 2023
Key facts
- NPI
- 1992291256
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- Legal business name
- VIRGINIA CVS PHARMACY LLC
- Practice address
- 1020 Seneca Road
Great Falls, VA 22066 - Phone
- (703) 444-1570
- NPI assigned
- Jul 10, 2018
- Organization subpart
- No
Authorized official
- Name
- Susan F Colbert
- Title
- Sr. Director Payer Relations
- Phone
- (401) 765-1500
Corporate family (same tax ID) 16
Member of 1
Practitioners 5
-
Shameen Shrestha, PHARMD
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Virginia CVS Pharmacy LLC |
Immunosuppressive Drugs|Infusion 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|Urologic… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100804000863 | DC | Part B Supplier - Mass Immunization (Roster Biller Only) | 5193727709 | This NPI is an additional NPI on the enrollment |
| O20181114001415 | VA | DME Supplier - Pharmacy | 5193727709 | Practice locations: Great Falls, VA |
National Provider Directory
- Tax ID family
- Virginia CVS Pharmacy L L C
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | Yes | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
1020 Seneca Road
Great Falls, VA 22066
Mailing address
1 CVS Dr
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other names
- CVS Pharmacy # 10684
Other providers in Great Falls, VA
- Stephanie Todd
- Value in Prevention of Virginia, PLLC
- Vascular Surgery Group
- Virginia Allergy & Pediatric Associates, P.C.
- Virginia Allergy PLLC
- Virginia CVS Pharmacy, L.L.C.
- Virginia Health Operations LLC
- Virginia Health Operations LLC
- Virginia Health Operations LLC
- Virginia Joint and Spine Center PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2023. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.