VIRGINIA CVS PHARMACY LLC (NPI# 1174626808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174626808 |
| Entity Type | Organization |
| Organization Name | VIRGINIA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #06285 |
| Practice Address |
702 9th St Se Roanoke VA 24013-1810 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5403439378 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2011-11-02 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 201002436 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4800086 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #06285 | 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 |
702 9TH ST SE |
| City | ROANOKE |
| State | VA |
| Zip Code | 24013-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114091485 | Amy Barker | Registered Nurse | 102 Highland Ave Se Ste 203, Roanoke, VA 24013 | 2006-11-20 |
| 1992888432 | Valley Home Health Care LLC | Durable Medical Equipment & Medical Supplies | 1212 Campbell Ave Se, Roanoke, VA 24013 | 2006-10-20 |
| 1245325786 | Travis Pg Barham | Dentist | 101 Elm Ave, Roanoke, VA 24013 | 2006-10-03 |
| 1801251806 | Emily Lawson Bennett | Nurse Practitioner | 101 Elm Ave Se, Roanoke, VA 24013 | 2015-12-18 |
| 1629455936 | Mebratu Daba | Pediatrics | 102 Highland Ave Se Ste 104, Roanoke, VA 24013 | 2015-05-06 |
| 1720475296 | Hussein Elmufti | Pediatrics | 102 Highland Ave Se Ste 455, Roanoke, VA 24013 | 2015-04-22 |
| 1861467847 | Kilian H. Brech II | Pediatrics | 21 Highland Ave Se Ste 100, Roanoke, VA 24013 | 2006-02-22 |
| 1114545928 | Raven Matthews | Emergency Medicine | 213 18th St Se, Roanoke, VA 24013-1311 | 2020-07-08 |
| 1356557102 | Sandra Elaine Sayre | Nurse Practitioner | 402 4th St Se, Roanoke, VA 24013-1404 | 2007-05-15 |
| 1982041000 | Family Preservation Services, Inc. | Community/Behavioral Health | 825 Stewart Ave Se, Roanoke, VA 24013-1443 | 2013-05-30 |
| Find all providers in zip 24013 | ||||
| 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 |
|---|---|---|---|---|
| 1619253846 | Chs Inc | Pharmacy | 3 Riverside Circle Ground Floor, Roanoke, VA 24016 | 2011-11-02 |
| 1134260516 | Shawsville Pharmacy Inc | Pharmacy | 2201 Crystal Spring Ave Sw, Roanoke, VA 24014-2416 | 2007-02-09 |
| 1992802730 | Sanco Drug Inc | Pharmacy | 1270 Riverland Rd Se, Roanoke, VA 24014-3508 | 2006-09-20 |
| 1497867303 | Bear Creek Drug Inc | Pharmacy | 3328 Brambleton Ave, Roanoke, VA 24018-6523 | 2006-08-31 |
| 1124130034 | Mountain Rx LLC | Pharmacy | 3324 Williamson Rd Nw, Roanoke, VA 24012-4058 | 2006-08-31 |
| 1194730705 | Lineville Clinic Pharmacy LLC | Pharmacy | 3705 Highway 431 Ste B, Roanoke, AL 36274-1430 | 2006-07-30 |
| 1447275169 | Kroger Limited Partnership I | Pharmacy | 4488 Electric Rd, Roanoke, VA 24018-0722 | 2006-07-13 |
| 1356375125 | Kroger Limited Partnership I | Pharmacy | 5050 Rutgers St Nw, Roanoke, VA 24012-1326 | 2006-07-10 |
| 1063446847 | Kroger Limited Partnership I | Pharmacy | 614 Brandon Ave Sw, Roanoke, VA 24015-3212 | 2006-07-10 |
| 1972537751 | Kroger Limited Partnership I | Pharmacy | 7223 Williamson Rd, Roanoke, VA 24019-4234 | 2006-07-10 |
| Find all providers in ROANOKE | ||||
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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.