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VIRGINIA CVS PHARMACY LLC NPI 1073616710


NPI Information

NPI: 1073616710
Provider Name: VIRGINIA CVS PHARMACY LLC

Doing Business As: CVS PHARMACY # 07577

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
4126 PLANTATION RD NE
ROANOKE, VA
ZIP 24012
Phone: (540) 563-4968
Get Directions

VIRGINIA CVS PHARMACY LLC is a pharmacy in Roanoke, VA. The provider is 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. VIRGINIA CVS PHARMACY LLC NPI is 1073616710. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy # 07577.

The provider's business location address is:

4126 PLANTATION RD NE
ROANOKE, VA
ZIP 24012-136
Phone: (540) 563-4968

The provider's authorized official is Susan Colbert .
The authorized official title is Director, Payer Relations and has the following contact phone number (401) 770-2751.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 6/22/2012.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacy201002362VIRGINIAYes

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
100100FMEDICARE PINVIRGINIA
2P00754751OTHERVIRGINIAMEDICARE RR
35672950232MEDICARE NSCVIRGINIA
44820379OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

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: 11/14/2023

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