VIRGINIA CVS PHARMACY LLC (NPI# 1104848886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104848886 |
| Entity Type | Organization |
| Organization Name | VIRGINIA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #16477 |
| Practice Address |
12130 Jefferson Ave Newport News VA 23602-6908 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 7578819371 |
| Practice Fax Number | 7572347312 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-12-05 |
| 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 |
201003442 | VA | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2107258 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16477 | 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 |
12130 JEFFERSON AVE |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23602-6908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588118517 | Linh Nguyet Huynh | Pharmacist | 12130 Jefferson Ave, Newport News, VA 23602-6908 | 2016-08-08 |
| 1982063335 | Jennifer C Lane Od Pllc | Optometrist | 12130 Jefferson Ave, Newport News, VA 23602-6908 | 2016-02-14 |
| 1558745000 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 12130 Jefferson Ave, Newport News, VA 23602-6908 | 2015-07-15 |
| 1104161561 | Jamie Glenn Waller | Pharmacist | 12130 Jefferson Ave, Newport News, VA 23602-6908 | 2012-12-11 |
| 1790059004 | Holly Poole Blackley | Pharmacist | 12130 Jefferson Ave, Newport News, VA 23602-6908 | 2012-03-05 |
| 1487931002 | Eric Schaible | Pharmacist | 12130 Jefferson Ave, Newport News, VA 23602-6908 | 2011-11-10 |
| 1396023115 | Jennifer Fletcher Bland | Pharmacist | 12130 Jefferson Ave, Newport News, VA 23602-6908 | 2011-07-27 |
| 1952697542 | Myckieala Cooper | Pharmacist | 12130 Jefferson Ave, Newport News, VA 23602-6908 | 2011-06-22 |
| 1346534112 | Teri Cartwright | Pharmacist | 12130 Jefferson Ave, Newport News, VA 23602-6908 | 2011-06-08 |
| 1740509850 | Ryan Fedor | Pharmacist | 12130 Jefferson Ave, Newport News, VA 23602-6908 | 2010-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789425 | Aishah Naomi Khursheed | Counselor | 727 J Clyde Blvd, Ste A, Newport News, VA 23602 | 2020-04-21 |
| 1962069526 | Boss Inner Child Counseling, LLC | Clinic/Center | 14203 Old Courthouse Way, Suite B, Newport News, VA 23602 | 2019-05-20 |
| 1922598572 | Manoj Chawla | Internal Medicine | 1000 Old Denbigh Blvd # 1020a, Newport News, VA 23602 | 2018-05-18 |
| 1750896999 | Alexandra Paige Jones | Behavioral Analyst | 12727 Mcmanus Blvd., Newport News, VA 23602 | 2017-12-11 |
| 1457712556 | Mary Ellen Lynch | Registered Nurse | American Addiction Treatment Center, 12695 Mcmanus Blvd, Bdg 2, Newport News, VA 23602 | 2016-03-16 |
| 1790159481 | Megan Ashley Burkart Schmidt | Registered Nurse | 903 Kinsale Cres, Newport News, VA 23602 | 2015-11-18 |
| 1962870733 | Natalie Marie Bradshaw-smith | Nurse Practitioner | 401 Oyster Point Rd Ste A, Newport News, VA 23602 | 2015-09-09 |
| 1477953578 | Jonathan Edwards | Pathology | Bon Secours Mary Immaculate Hospital, Pathology Dept, 2 Bernardine Dr, Newport News, VA 23602 | 2014-08-26 |
| 1588063663 | Cathy G Cooke | Psychologist | 12695 Mcmanus Blvd. Bldg #8, Newport News, VA 23602 | 2014-08-14 |
| 1538576764 | John Michael Sullivan | Psychologist | One Old Oyster Point Road, Newport News, VA 23602 | 2014-07-21 |
| Find all providers in zip 23602 | ||||
| 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 |
|---|---|---|---|---|
| 1629414867 | Mary Immaculate Hospital | Pharmacy | 12720 Mcmanus Blvd Ste 100, Newport News, VA 23602-4414 | 2013-05-15 |
| 1700176096 | Virginia Pharmaceutical Services LLC | Pharmacy | 11832 Canon Blvd Ste A&b, Newport News, VA 23606-2580 | 2011-04-08 |
| 1114233897 | Rite Aid | Pharmacy | 2305 Jefferson Ave, Newport News, VA 23607-4509 | 2010-08-19 |
| 1720004435 | Hidenwood Pharmacy of Newport News Inc | Pharmacy | 35 Hidenwood Shopping Ctr, Newport News, VA 23606-2200 | 2006-07-14 |
| 1134153901 | Kroger Limited Partnership I | Pharmacy | 14346 Warwick Blvd, Newport News, VA 23602-3814 | 2006-07-10 |
| 1851322978 | K Mart Corp | Pharmacy | 401 Oriana Rd, Newport News, VA 23608-3717 | 2006-07-06 |
| 1124506225 | T&b Drugstores | Pharmacy | 12700 Mcmanus Blvd Ste 101, Newport News, VA 23602-4407 | 2018-07-31 |
| 1265843833 | The Community Free Clinic of Newport News | Pharmacy | 727 25th St, Newport News, VA 23607-4601 | 2014-05-16 |
| 1679595516 | East End Pharmacy Inc | Pharmacy | 2501 Marshall Ave, Newport News, VA 23607-4636 | 2006-07-23 |
| 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 | NEWPORT NEWS |
| Zip Code | 23602 |
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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.