VIRGINIA CVS PHARMACY LLC (NPI# 1063949444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063949444 |
| Entity Type | Organization |
| Organization Name | VIRGINIA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY # 10990 |
| Practice Address |
12455 W Broad St Rd Richmond VA 23233 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8043640989 |
| Mailing Telephone | (401) 765-1500 |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2017-08-04 |
| Authorized Official Name | S COLBERT (SR 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 | 4847921 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy # 10990 | 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 |
| 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 |
| 1740680719 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3717 Hampton Blvd, Norfolk, VA 23508-2425 | 2014-08-27 |
| Street Address |
12455 W BROAD ST RD |
| City | RICHMOND |
| State | VA |
| Zip Code | 23233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813720 | David Rothman | Psychologist | 2000 Wilkes Drive, Richomd, VA 23233 | 2020-08-31 |
| 1770193286 | Penelope Kate Eissenberg | Occupational Therapist | Cedarfields, 2300 Cedarfield Parkway, Richmond, VA 23233 | 2020-08-10 |
| 1962038570 | Samantha Montgomery Warren | Nurse Practitioner | 3900 Westerre Parkway, Suite 300 Pmb# 308, Richmond, VA 23233 | 2020-03-15 |
| 1285269696 | Joyce Prayer Medical Transportion LLC | Transportation Broker | 2437 Bidgeview Ln, Henrico, VA 23233 | 2020-03-05 |
| 1821621228 | Marlon Reyes | Private Vehicle | 2500 Pump Rd, Richmond, VA 23233 | 2020-02-13 |
| 1659840924 | Brent Rusnak River Run Dental Greengate | Dentist | 3700 Haydenpark Lane, Medical Office J, Henrico, VA 23233 | 2018-11-16 |
| 1003309808 | Jeffrey Walker | Pharmacist | 3460 Pump Road, Henrico, VA 23233 | 2018-06-07 |
| 1346741667 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 12320 W Broad St Ste 100, Richmond, VA 23233 | 2018-02-22 |
| 1215438544 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 12320 W Broad St Ste 100a, Richmond, VA 23233 | 2018-02-22 |
| 1295235026 | Zackery Firesheets | Physical Therapy Assistant | 2422 University Park Blvd., Richmond, VA 23233 | 2018-02-19 |
| Find all providers in zip 23233 | ||||
| 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 |
|---|---|---|---|---|
| 1770115131 | Eliz Pharmacy LLC | Pharmacy | 7120 Fm 1464 Rd Ste D, Richmond, TX 77407-6400 | 2020-02-04 |
| 1235619123 | Always First Pharmacy LLC | Pharmacy | 8620 Grand Mission Blvd Ste I, Richmond, TX 77407-5419 | 2018-08-20 |
| 1447702626 | Kelcare LLC | Pharmacy | 22001 Southwest Fwy Ste 110, Richmond, TX 77469-7002 | 2016-11-04 |
| 1396136156 | Cz Services Inc | Pharmacy | 860 Harbour Way S Ste E, Richmond, CA 94804-3648 | 2015-02-13 |
| 1386081982 | C3 Healthcare Rx | Pharmacy | 2026 Dabney Rd, Richmond, VA 23230 | 2013-05-23 |
| 1619222767 | Bon Secours-virginia Healthsource Inc | Pharmacy | 6900 Forest Ave Ste 100, Richmond, VA 23230 | 2012-07-16 |
| 1083999122 | Carters Pharmacy Rx LLC | Pharmacy | 1202 Lark Ln Ste 3, Richmond, TX 77469-7433 | 2011-10-20 |
| 1013227149 | Mariste Pharmaceuticals LLC | Pharmacy | 8710 Grand Mission Blvd Ste H, Richmond, TX 77407-5413 | 2010-10-07 |
| 1497994594 | Riverside Healthcare Services | Pharmacy | 1300 Mactavish Ave, Richmond, VA 23230-4633 | 2009-02-12 |
| 1932399383 | South River Compounding Pharmacy West End, Inc. | Pharmacy | 3656 Mayland Ct, Richmond, VA 23233-1409 | 2007-07-31 |
| Find all providers in RICHMOND | ||||
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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.