VIRGINIA CVS PHARMACY, L.L.C. (NPI# 1689778359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689778359 |
| Entity Type | Organization |
| Organization Name | VIRGINIA CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY # 05790 |
| Practice Address |
11271 Nuckols Rd Glen Allen VA 23059-5502 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8042178881 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2006-09-12 |
| 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 | 02010003843 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4837386 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 05790 | 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 |
11271 NUCKOLS RD |
| City | GLEN ALLEN |
| State | VA |
| Zip Code | 23059-5502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740751452 | Hannah Folmer | Nurse Practitioner | 11271 Nuckols Rd, Glen Allen, VA 23059-5502 | 2018-12-07 |
| 1801399688 | Jennie Sims | Nurse Practitioner | 11271 Nuckols Rd, Glen Allen, VA 23059 | 2018-03-17 |
| 1508315201 | Charlie Robinson | Nurse Practitioner | 11271 Nuckols Rd, Glen Allen, VA 23059 | 2016-09-23 |
| 1831542190 | Phyllis Thornton Waggoner | Nurse Practitioner | 11271 Nuckols Rd, Glen Allen, VA 23059-5502 | 2016-07-21 |
| 1003027186 | Denise Ann Griffin Spigle | Nurse Practitioner | 11271 Nuckols Rd, Minuteclinic, Glen Allen, VA 23059-5502 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422163 | Kusum Bhetwal | Nurse Practitioner | 12804 Westin Estates Drive, Glen Allen, VA 23059 | 2020-09-23 |
| 1538704770 | Rise Services LLC | Community/Behavioral Health | 11357 Nuckois Road, Suite 2043, Glen Allen, VA 23059 | 2019-11-12 |
| 1992347116 | Irene Anne Mcgovern | Technician | 5233 Eastbranch Dr, Glen Allen, VA 23059 | 2019-10-09 |
| 1427547322 | Sharon Ann Lott | Audiologist | Short Pump Middle School, 4701 Pouncey Tract Road, Glen Allen, VA 23059 | 2018-05-07 |
| 1518476423 | Thomas Joseph Stein | Pharmacist | 4912 Old Millrace Place, Glen Allen, VA 23059 | 2017-09-22 |
| 1033638440 | Caroline Taylor | Specialist/Technologist | 5143 Dorin Hill Ct., Glen Allen, VA 23059 | 2017-09-18 |
| 1003335167 | Rva Transport, Inc. | Non-emergency Medical Transport (VAN) | 830 Brassie Ln, Apt F, Glen Allen, VA 23059 | 2017-09-10 |
| 1639628407 | Jessica Jasmine Green | Nurse Practitioner | 4687 Poucey Tract Road, Glen Allen, VA 23059 | 2016-09-22 |
| 1255512760 | Peggy Ellen York | Psychologist | 13314 Greenwood Rd, Glen Allen, VA 23059 | 2007-11-27 |
| 1689795940 | Kim Blassic | Dentist | 5225 Hickory Park Dr., Suite D, Glen Allen, VA 23059 | 2007-04-03 |
| Find all providers in zip 23059 | ||||
| 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 |
|---|---|---|---|---|
| 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 | GLEN ALLEN |
| Zip Code | 23059 |
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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.