CREATIVE PHARMACY SOLUTIONS EAST LLC (NPI# 1700894649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700894649 |
| Entity Type | Organization |
| Organization Name | CREATIVE PHARMACY SOLUTIONS EAST LLC |
| Other Organization Name | PHARMACY INNOVATIONS |
| Practice Address |
4001 Virginia Beach Blvd Ste 110 Virginia Beach VA 23452-1759 |
| Mailing Address |
2535 Johns Pl Jamestown NY 14701-9210 |
| Practice Telephone | 7579340533 |
| Practice Fax Number | 7572283991 |
| Mailing Telephone | 7167205121 |
| Mailing Fax Number | 7167086248 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-07-30 |
| Authorized Official Name | RICHARD MOON (OWNER) |
| Authorized Official Telephone | 7167205121 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 0201003136 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2154895 | 01 |
| Other Name | Type Code |
|---|---|
| Pharmacy Innovations | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588894000 | Creative Pharmacy Solutions East LLC | Pharmacy | 440a Raritan Ave, Highland Park, NJ 08904-2740 | 2009-07-17 |
| 1972500130 | Creative Pharmacy Solutions East LLC | Pharmacy | 4000 Park St N, St Petersburg, FL 33709-4034 | 2005-07-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Creative Pharmacy Solutions East LLC | 2535 Johns Pl, Jamestown, New York 14701 |
| Street Address |
4001 VIRGINIA BEACH BLVD STE 110 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23452-1759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208650 | Tracie Marie Romero | Counselor | 236 Mustag Trail Ste, Virginia Beach, VA 23452 | 2020-08-31 |
| 1346884400 | Asra R Javeed Dmd PC | Dentist | 4312 Holland Rd Ste 108, Virginia Beach, VA 23452 | 2019-11-01 |
| 1598313298 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 397 Little Neck Rd, Building 3400, Suite 107, Virginia Beach, VA 23452 | 2019-08-27 |
| 1205483229 | Brenna Dober | Behavior Technician | 380 Clevend Place, Virginia Beach, VA 23452 | 2019-08-23 |
| 1639652977 | Jessica Keefe | Psychologist | 642 Carriage Hill Road, Virginia Beach, VA 23452 | 2018-09-12 |
| 1316433709 | Circle of Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3630 S Plaza Trl Ste 210a, Virginia Beach, VA 23452 | 2018-07-09 |
| 1992205165 | Jeremy Monsanto | Behavior Technician | 629 Phoenix Drive, Ste 150, Virginia Beach, VA 23452 | 2018-02-14 |
| 1174056014 | Samantha Brown | Behavior Technician | 780 Nnhaven Parkway, Suite 400, Virginia Beach, VA 23452 | 2017-04-07 |
| 1043757685 | Join1,llc | Home Health | 349 Southport Circle, Suite 106, Virginia Beach, VA 23452 | 2017-01-20 |
| 1720520620 | Renee Brush | Psychologist | 485 S Independence Blvd Ste 104, Virginia Beach, VA 23452 | 2016-11-08 |
| Find all providers in zip 23452 | ||||
| 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 |
|---|---|---|---|---|
| 1447892450 | Seaside Pharmacy LLC | Pharmacy | 1630 Donna Dr Ste 103, Virginia Beach, VA 23451-6188 | 2019-10-10 |
| 1376630574 | Barrs Pharmacy Inc | Pharmacy | 201 Virginia Beach Blvd, Virginia Beach, VA 23451-3429 | 2006-10-07 |
| 1043244817 | Kroger Limited Partnership I | Pharmacy | 4625 Shore Dr, Virginia Beach, VA 23455-2745 | 2006-07-10 |
| 1952335721 | Kroger Limited Partnership I | Pharmacy | 1800 Republic Rd, Virginia Beach, VA 23454-4542 | 2006-07-10 |
| 1770517542 | Kroger Limited Partnership I | Pharmacy | 2029 Lynnhaven Pkwy, Virginia Beach, VA 23456-1474 | 2006-07-10 |
| 1881628667 | Kroger Limited Partnership I | Pharmacy | 975 Providence Sq Ctr, Virginia Beach, VA 23464-4301 | 2006-07-10 |
| 1528167483 | Sentara Princess Anne Hospital | Pharmacy | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2006-09-21 |
| 1669403788 | K Mart Corp | Pharmacy | 550 First Colonial Rd, Virginia Beach, VA 23451-6186 | 2006-07-06 |
| 1740211861 | K Mart Corp | Pharmacy | 1205 Fordham Dr, Virginia Beach, VA 23464-5344 | 2006-07-06 |
| 1053342188 | K Mart Corp | Pharmacy | 312 Constitution Dr, Virginia Beach, VA 23462-3102 | 2006-07-06 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23452 |
Please comment or provide details below to improve the information on CREATIVE PHARMACY SOLUTIONS EAST LLC.
| 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.