VIRGINIA CVS PHARMACY LLC (NPI# 1568861904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568861904 |
| Entity Type | Organization |
| Organization Name | VIRGINIA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY # 05467 |
| Practice Address |
12734 Shoppes Lane Fairfax VA 22033 |
| Mailing Address |
1 Cvs Dr Box 1075 - Pharmacy Enrollment Woonsocket RI 02895-6146 |
| Practice Telephone | 7033229557 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-12-10 |
| 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 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1568861904 | 05 | |
| VA | NCPDP | 4845701 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy # 05467 | 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 |
12734 SHOPPES LANE |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| 1982975249 | Ian De Vocht | Specialist/Technologist, Other | 12011 Lee Jackson Memorial Hwy Ste 501, Fairfax, VA 22033 | 2012-01-18 |
| Find all providers in zip 22033 | ||||
| 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 |
|---|---|---|---|---|
| 1922596691 | Prosperity Pharmacy Med Center Inc | Pharmacy | 8505 Arlington Blvd Ste 110, Fairfax, VA 22031-4636 | 2018-04-27 |
| 1114475118 | Revolution Meds Pharmacy Inc | Pharmacy | 11230 Waples Mill Rd Ste 115, Fairfax, VA 22030-5026 | 2016-09-19 |
| 1922407915 | Walgreens | Pharmacy | 3505 Nutley St, Suite A, Fairfax, VA 22031 | 2014-08-15 |
| 1750303616 | Hana Pharmacy, Inc. | Pharmacy | 11200 Fairfax Blvd., Fairfax, VA 22030 | 2006-07-23 |
| 1649203993 | Giant of Maryland LLC | Pharmacy | 11200 Main Street, Fairfax, VA 22030 | 2006-07-09 |
| 1780667980 | Wegmans Food Markets, Inc | Pharmacy | 11620 Monument Dr, Attn: Pharmacy Manager, Fairfax, VA 22030-8706 | 2005-11-22 |
| 1265057657 | Farzana Haque Kennedy | Pharmacy | 9868 Main St, Fairfax, VA 22031-3908 | 2020-06-11 |
| 1447783378 | Dewitt Army Community Hospital | Pharmacy | 10580 Arrowhead Dr, Fairfax, VA 22030-7301 | 2017-04-07 |
| 1033577184 | O&o Alpan, LLC | Pharmacy | 11212 Waples Mill Rd, Suite 100, Fairfax, VA 22030-7404 | 2016-02-03 |
| 1255738076 | Prosperity Rx Fairfax Inc | Pharmacy | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2014-11-21 |
| Find all providers in FAIRFAX | ||||
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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.