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VIRGINIA CVS PHARMACY LLC NPI 1174621650


NPI Information

NPI: 1174621650
Provider Name: VIRGINIA CVS PHARMACY LLC

Doing Business As: CVS PHARMACY # 02169

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
10901 W BROAD ST
GLEN ALLEN, VA
ZIP 23060
Phone: (804) 935-6916
Get Directions

VIRGINIA CVS PHARMACY LLC is a pharmacy in Glen Allen, 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 1174621650. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy # 02169.

The provider's business location address is:

10901 W BROAD ST
GLEN ALLEN, VA
ZIP 23060-935
Phone: (804) 935-6916

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 9/20/2006 and was last updated on 7/17/2014.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacy0201003552VIRGINIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100100FMEDICARE PINVIRGINIA
2P00965800MEDICARE PIN
35672950125MEDICARE NSCVIRGINIA
44833186OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
5P00754820OTHERMEDICARE RR

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: 5/5/2024

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