VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY

Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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Contact Information

VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY

11958 W BROAD ST FL 2
HENRICO, VA 23233-1007

Phone: 804-828-5468
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Clinic Pharmacy	3336C0002X	58	Medical Supply Company with Pharmacist
Specialty Pharmacy	3336S0011X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY

NPI Number 1972026243

LBN Legal business name VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY

Authorized official ELIZABETH ALLEN - (VP FINANCE AND ACCOUNTING)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/19/2017

Last updated 11/01/2022 - About 4 years ago

Identifiers

VA	License #	0202211458
VA	Medicaid	30015174800078
VA	Medicaid	8506744

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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