VIRGINIA CVS PHARMACY LLC (NPI# 1073616710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073616710 |
| Entity Type | Organization |
| Organization Name | VIRGINIA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY # 07577 |
| Practice Address |
4126 Plantation Rd Ne Roanoke VA 24012-3136 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5405634968 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2012-06-22 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 201002362 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4820379 | 01 | |
| VA | MEDICARE RR | P00754751 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 07577 | 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 |
4126 PLANTATION RD NE |
| City | ROANOKE |
| State | VA |
| Zip Code | 24012-3136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215440359 | Sahar Rafiq | Dentist | 3802 Apricot Trl, Roanoke, VA 24012 | 2017-11-12 |
| 1790202695 | Friendship Pharmacy, Inc. | Pharmacy | 327 Hershberger Rd., Roanoke, VA 24012 | 2017-08-23 |
| 1760912901 | Odyssey Healthcare Operating B, Lp | Hospice Care, Community Based | 1318 Plantation Rd Ne, Roanoke, VA 24012 | 2017-06-19 |
| 1770019622 | Eisa Jawad Abu Munshar | Dentist | 4753 Valley View Blvd Nw, Roanoke, VA 24012 | 2017-05-11 |
| 1447702303 | Kartesz Eye Associates Inc. | Optometrist | 4922 Vally View Blvd., Roanoke, VA 24012 | 2016-10-26 |
| 1740638220 | Kevin E Steinberger | Physical Therapist | 2730 Forest Oak Dr, Roanoke, VA 24012 | 2016-05-25 |
| 1740637883 | Professional Health Care Services, Inc. | In Home Supportive Care | 367 Hershberger Rd., Nw, Roanoke, VA 24012 | 2016-05-18 |
| 1497129787 | M Zaher Aymach | Dentist | 1502 Williamson Rd Ne Ste A, Roanoke, VA 24012 | 2015-11-24 |
| 1518223916 | Katherine Rash | Social Worker | 3003 Hollins Road, Roanoke, VA 24012 | 2012-04-10 |
| 1841525383 | William Kastern, O.d., Ph.d., LLC | Optometrist | 4822c Valley View Blvd., Roanoke, VA 24012 | 2009-10-15 |
| Find all providers in zip 24012 | ||||
| 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 |
|---|---|---|---|---|
| 1619253846 | Chs Inc | Pharmacy | 3 Riverside Circle Ground Floor, Roanoke, VA 24016 | 2011-11-02 |
| 1134260516 | Shawsville Pharmacy Inc | Pharmacy | 2201 Crystal Spring Ave Sw, Roanoke, VA 24014-2416 | 2007-02-09 |
| 1992802730 | Sanco Drug Inc | Pharmacy | 1270 Riverland Rd Se, Roanoke, VA 24014-3508 | 2006-09-20 |
| 1497867303 | Bear Creek Drug Inc | Pharmacy | 3328 Brambleton Ave, Roanoke, VA 24018-6523 | 2006-08-31 |
| 1124130034 | Mountain Rx LLC | Pharmacy | 3324 Williamson Rd Nw, Roanoke, VA 24012-4058 | 2006-08-31 |
| 1194730705 | Lineville Clinic Pharmacy LLC | Pharmacy | 3705 Highway 431 Ste B, Roanoke, AL 36274-1430 | 2006-07-30 |
| 1447275169 | Kroger Limited Partnership I | Pharmacy | 4488 Electric Rd, Roanoke, VA 24018-0722 | 2006-07-13 |
| 1356375125 | Kroger Limited Partnership I | Pharmacy | 5050 Rutgers St Nw, Roanoke, VA 24012-1326 | 2006-07-10 |
| 1063446847 | Kroger Limited Partnership I | Pharmacy | 614 Brandon Ave Sw, Roanoke, VA 24015-3212 | 2006-07-10 |
| 1972537751 | Kroger Limited Partnership I | Pharmacy | 7223 Williamson Rd, Roanoke, VA 24019-4234 | 2006-07-10 |
| Find all providers in ROANOKE | ||||
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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.