VIRGINIA CVS PHARMACY LLC (NPI# 1083636765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083636765 |
| Entity Type | Organization |
| Organization Name | VIRGINIA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #16233 |
| Practice Address |
2460 Prince William Pkwy Woodbridge VA 22192-4148 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 7034904415 |
| Practice Fax Number | 5714923001 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-11-30 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
201003305 | VA | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2106748 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16233 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609494178 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 740 N Glebe Rd, Arlington, VA 22203-2257 | 2020-07-10 |
| 1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
| 1033684154 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 44835 Russel Branch Parkway, Ashburn, VA 20147 | 2018-10-04 |
| 1063949444 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12455 W Broad St Rd, Richmond, VA 23233 | 2017-05-17 |
| 1477099778 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1700 Seminole Trl, Charlottesville, VA 22901-5508 | 2017-01-10 |
| 1912449224 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 17307 Hull Street Rd, Moseley, VA 23120-1421 | 2016-11-17 |
| 1184075962 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2511 Anderson Highway, Powhatan, VA 23139-7508 | 2016-06-23 |
| 1245699529 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1680 Duke St, Alexandria, VA 22314-3474 | 2016-02-16 |
| 1033593165 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 16641 Mountain Rd, Montpelier, VA 23192 | 2015-07-18 |
| 1912307760 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12755 Jefferson Ave, Newport News, VA 23602-4317 | 2014-08-29 |
| Street Address |
2460 PRINCE WILLIAM PKWY |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192-4148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720479116 | Manender Kaur | Pharmacy Technician | 2460 Prince William Pkwy, Woodbridge, VA 22192-4148 | 2015-02-06 |
| 1598156093 | Emmanuel Obeng | Pharmacy Technician | 2460 Prince William Pkwy, Woodbridge, VA 22192-4148 | 2015-02-05 |
| 1194115741 | Ingrid Diaz | Pharmacy Technician | 2460 Prince William Pkwy, Woodbridge, VA 22192-4148 | 2015-02-03 |
| 1174913727 | Tammy Gonzalez | Pharmacy Technician | 2460 Prince William Pkwy, Woodbridge, VA 22192-4148 | 2015-02-03 |
| 1518357193 | Crystal Rodriguez | Pharmacy Technician | 2460 Prince William Pkwy, Woodbridge, VA 22192-4148 | 2015-02-03 |
| 1710323464 | Warren Oliver Simmons II | Pharmacist | 2460 Prince William Pkwy, Woodbridge, VA 22192-4148 | 2013-05-21 |
| 1811240062 | Frank O Anin | Pharmacist | 2460 Prince William Pkwy, Woodbridge, VA 22192-4148 | 2012-10-24 |
| 1649526633 | Hyun Jung Lee | Pharmacist | 2460 Prince William Pkwy, Woodbridge, VA 22192-4148 | 2012-07-27 |
| 1982959151 | Keith Lindsay Iams | Pharmacist | 2460 Prince William Pkwy, T-0759, Woodbridge, VA 22192-4148 | 2012-07-13 |
| 1629363502 | Angela Denean Gray | Pharmacist | 2460 Prince William Pkwy, T-0759, Woodbridge, VA 22192-4148 | 2011-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871687285 | Chlone Inc | Pharmacy | 458 Amboy Ave, Woodbridge, NJ 07095-2948 | 2006-10-03 |
| 1396850178 | Saker Shoprites Inc. | Pharmacy | 877 Saint George Ave, Woodbridge, NJ 07095-2514 | 2006-08-20 |
| 1699700641 | Giant of Maryland LLC | Pharmacy | 16593 River Ridge Blvd, Woodbridge, VA 22191-4623 | 2006-07-11 |
| 1912930256 | Giant of Maryland LLC | Pharmacy | 13905 Jefferson Davis Hwy, Woodbridge, VA 22191-2010 | 2006-07-09 |
| 1548244643 | Wegmans Food Markets, Inc. | Pharmacy | 15 Woodbridge Ctr Dr, Attn: Pharmacy Manager, Woodbridge, NJ 07095-1312 | 2005-12-01 |
| 1891750741 | Potomac Ventures Corporation | Pharmacy | 2296 Opitz Blvd, Ste 100, Woodbridge, VA 22191-3300 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998920 | Schiffert Health Center | Pharmacy | 895 Washington Street Sw Virginia Tech Mccomas Hall, Blacksburg, VA 24061-0140 | 2020-07-02 |
| 1912521675 | Duke Pharmacy LLC | Pharmacy | 5130 Duke St Ste 7b, Alexandria, VA 22304-2955 | 2020-05-28 |
| 1942847900 | Medspack Ltc Inc | Pharmacy | 14121 Parke Long Ct Ste 112, Chantilly, VA 20151-1647 | 2019-12-09 |
| 1275175804 | Duyen K Nguyen | Pharmacy | 4497 Morning Wind Ct, Annandale, VA 22003-5902 | 2019-10-15 |
| 1447892450 | Seaside Pharmacy LLC | Pharmacy | 1630 Donna Dr Ste 103, Virginia Beach, VA 23451-6188 | 2019-10-10 |
| 1083255426 | E's-y Rider Cab & Transport Co LLC | Pharmacy | 562 W 29th St, Buena Vista, VA 24416-1506 | 2019-10-07 |
| 1346891918 | Martin's Pharmacy of Rural Retreat Inc | Pharmacy | 100 W Buck Ave, Rural Retreat, VA 24368-2515 | 2019-09-25 |
| 1417418005 | Village Economy Drug Inc | Pharmacy | 443 Duff Patt Hwy Ste 104, Duffield, VA 24244-5191 | 2019-03-27 |
| 1538642434 | Avs Pharmacy LLC | Pharmacy | 161 Fort Evans Rd Ne Ste 115, Leesburg, VA 20176-3370 | 2018-09-07 |
| 1316427347 | Plaza Economy Drug Inc | Pharmacy | 1123 Plaza Dr, Grundy, VA 24614-6780 | 2018-08-20 |
| Find all providers with the same taxonomy | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.