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VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY NPI 1023769874


NPI Information

NPI: 1023769874
Provider Name: VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY

Doing Business As: VCU HEALTH SYSTEM - VIRGINIA TREATMENT CENTER FOR CHILDREN PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 49D2186525

Address:
1308 SHERWOOD AVE
RICHMOND, VA
ZIP 23220
Phone: (804) 628-8800
Get Directions

VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY is a long term care pharmacy pharmacy in Richmond, VA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY NPI is 1023769874. The provider is registered as an organization entity type.
The provider Is Doing Business As Vcu Health System - Virginia Treatment Center For Children Pharmacy.

The provider's business location address is:

1308 SHERWOOD AVE
RICHMOND, VA
ZIP 23220-210
Phone: (804) 628-8800

The provider's authorized official is Elizabeth Allen .
The authorized official title is Vp Of Finance And Accounting and has the following contact phone number (804) 628-1338.

The CLIA number assigned to this NPI record is 49D2186525 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/13/2022 and was last updated on 11/1/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0002XPharmacyClinic PharmacyNo
23336L0003XPharmacyLong Term Care PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
130015174800078MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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