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CREATIVE PHARMACY SOLUTIONS EAST LLC NPI 1700894649


NPI Information

NPI: 1700894649
Provider Name: CREATIVE PHARMACY SOLUTIONS EAST LLC

Doing Business As: PHARMACY INNOVATIONS

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 49D2209358

Address:
4001 VIRGINIA BEACH BLVD STE 110
VIRGINIA BEACH, VA
ZIP 23452
Phone: (757) 934-0533
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CREATIVE PHARMACY SOLUTIONS EAST LLC is a pharmacy in Virginia Beach, 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. CREATIVE PHARMACY SOLUTIONS EAST LLC NPI is 1700894649. The provider is registered as an organization entity type.
The provider Is Doing Business As Pharmacy Innovations.

The provider's business location address is:

4001 VIRGINIA BEACH BLVD STE 110
VIRGINIA BEACH, VA
ZIP 23452-759
Phone: (757) 934-0533
Fax: (757) 228-3991

The provider's authorized official is Richard Moon .
The authorized official title is Owner and has the following contact phone number (716) 720-5121.

The CLIA number assigned to this NPI record is 49D2209358 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 7/13/2022.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
33336M0002XPharmacyMail Order PharmacyNo
4333600000XPharmacy0201003136VIRGINIAYes

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
12154895OTHERPK
21700894649MEDICAIDVIRGINIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.