Provider Type Icon

VIRGINIA CVS PHARMACY LLC NPI 1740202423


NPI Information

NPI: 1740202423
Provider Name: VIRGINIA CVS PHARMACY LLC

Doing Business As: CVS PHARMACY #16523

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 49D2069716

Address:
4737 VALLEY VIEW BLVD NW
ROANOKE, VA
ZIP 24012
Phone: (540) 362-7955
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 1740202423. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #16523.

The provider's business location address is:

4737 VALLEY VIEW BLVD NW
ROANOKE, VA
ZIP 24012-000
Phone: (540) 362-7955
Fax: (540) 204-9576

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

The CLIA number assigned to this NPI record is 49D2069716 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/24/2006 and was last updated on 11/25/2016.


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 Pharmacy201063541VIRGINIANo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacyYes

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
10640710256MEDICARE NSC
28516774MEDICAIDVIRGINIA
32104117OTHERPK
45672950302MEDICARE NSC

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

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.