VIRGINIA CVS PHARMACY, L.L.C. (NPI# 1245429935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245429935 |
| Entity Type | Organization |
| Organization Name | VIRGINIA CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY # 01733 |
| Practice Address |
6360 Hoadly Rd Manassas VA 20112 |
| Mailing Address |
1 Cvs Dr Box 1075- Pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 7038974961 |
| Practice Fax Number | 4017707108 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2014-07-17 |
| Authorized Official Name | SUSAN F. 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 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | NCPDP | 4840573 | 01 |
| VA | 1245429935 | 05 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy # 01733 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548752603 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3401 Charles St, Falls Church, VA 22041 | 2018-06-05 |
| 1003323163 | Virginia Cvs Pharmacy, L.L.C. | Pharmacy | 2704 Oaklawn Blvd, Hopewell, VA 23860 | 2018-01-10 |
| 1013420710 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2441 Eisenhower Ave, Alexandria, VA 22314-4684 | 2017-11-16 |
| 1043733785 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2775 Godwin Blvd, Suffolk, VA 23434-8037 | 2017-07-25 |
| 1811293012 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1800 Frederick Blvd, Portsmouth, VA 23707-4618 | 2011-02-04 |
| 1679876296 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 11458 Kings Highway, King George, VA 22485 | 2010-12-21 |
| 1609195064 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1920 Senseny Rd, Winchester, VA 22602-8904 | 2010-05-25 |
| 1811210891 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 9026 Seminole Trail, Ruckersville, VA 22968-3319 | 2010-03-05 |
| 1558698076 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1329 Kempsville Rd., Chesapeake, VA 23320 | 2009-11-04 |
| 1548492689 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 11127 Jefferson Ave, Newport News, VA 23601-2528 | 2009-08-21 |
| Street Address |
6360 HOADLY RD |
| City | MANASSAS |
| State | VA |
| Zip Code | 20112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821644873 | Laila Bayat | Nurse Practitioner | 6360 Hoadly Rd, Manassas, VA 20112-3422 | 2019-08-15 |
| 1437716370 | Elsie Acquah | Nurse Practitioner | 6360 Hoadly Rd, Manassas, VA 20112-3422 | 2019-05-27 |
| 1972082477 | Alexis Boatemaah Nketiah | Nurse Practitioner | 6360 Hoadly Rd, Manassas, VA 20112-3422 | 2018-08-07 |
| 1295224889 | Priscilla Amfo | Nurse Practitioner | 6360 Hoadly Rd, Manassas, VA 20112 | 2018-05-09 |
| 1285151357 | Marie France Homere | Nurse Practitioner | 6360 Hoadly Rd, Manassas, VA 20112-3422 | 2017-08-29 |
| 1003354473 | Brandi Campbell | Nurse Practitioner | 6360 Hoadly Rd, Manassas, VA 20112-3422 | 2017-02-06 |
| 1275998486 | Courtney Harless | Nurse Practitioner | 6360 Hoadly Rd, Manassas, VA 20112 | 2015-12-15 |
| 1821424672 | Stephanie Hull | Nurse Practitioner | 6360 Hoadly Rd, Manassas, VA 20112-3422 | 2013-09-24 |
| 1447528328 | Carlos Fagbenro | Nurse Practitioner | 6360 Hoadly Rd, Manassas, VA 20112-3422 | 2011-12-07 |
| 1073891305 | Jodit Hagos Beyene | Nurse Practitioner | 6360 Hoadly Rd, Manassas, VA 20112-3422 | 2011-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609361849 | Rasha Jamal Hussein | Dentist | 12701 Galveston Ct, Manassas, VA 20112 | 2018-06-29 |
| 1023510500 | Brooke Newman | Speech-Language Pathologist | 14715 Bristow Road, Manassas, VA 20112 | 2018-03-01 |
| 1174837165 | Carol M Cantello | Occupational Therapist | 12676 Cobblestone Ct, Manassas, VA 20112 | 2010-08-02 |
| 1780765982 | Cheryl Lynn Toulouse | Nurse Practitioner | Endocrine and Diabetes Center, 2200 Opitz Blvd, Suite 250, Woodbridge, VA 20112 | 2006-10-17 |
| 1548627797 | Dawnita Truitt-calderone | Speech-Language Pathologist | 14715 Bristow Rd, Manassas, VA 20112 | 2016-01-19 |
| 1205106069 | Andre Delray Route | Home Health Aide | 7600 Georgia Ave, Premier Health Services, Suite 323, Washington, DC 20112 | 2012-01-10 |
| 1548369390 | Mark A Bodwalk | Counselor | 6922 Newman Rd, Clifton, VA 20112-1613 | 2006-09-21 |
| 1831525211 | Jamie Armstrong | Physical Therapy Assistant | 10636 Tattersall Dr, Manassas, VA 20112-2411 | 2013-09-18 |
| 1851845705 | Carrie E Collier | Counselor | 8361 Mineral Springs Dr, Manassas, VA 20112-2420 | 2016-08-09 |
| 1396163770 | Tavna Limage | Social Worker | 9390 Hidden Spring Dr, Manassas, VA 20112-2702 | 2014-04-02 |
| Find all providers in zip 20112 | ||||
| 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 |
|---|---|---|---|---|
| 1518455997 | Medplus Pharmacy 2 LLC | Pharmacy | 8609 Sudley Rd Ste 103b, Manassas, VA 20110-4500 | 2018-05-01 |
| 1831122175 | Giant of Maryland LLC | Pharmacy | 8025 Sudley Rd, Manassas, VA 20109-8001 | 2006-07-09 |
| 1104859446 | Giant of Maryland LLC | Pharmacy | 8819 Centreville Rd, Manassas, VA 20110-5203 | 2006-07-09 |
| 1174946362 | Express Pharmacy | Pharmacy | 9705 Liberia Ave Ste 201, Manassas, VA 20110-1744 | 2014-01-24 |
| 1801035548 | Prosperity Prince William Rx Inc | Pharmacy | 8644 Sudley Rd, Suite 120, Manassas, VA 20110-4417 | 2009-02-19 |
| 1104857226 | K Mart Corp | Pharmacy | 7807 Sudley Rd, Manassas, VA 20109-2805 | 2006-07-06 |
| 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 |
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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.