National Provider Identifier Database

VIRGINIA CVS PHARMACY LLC
Pharmacy

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.


Contact Information

VIRGINIA CVS PHARMACY, L.L.C.
16712 JEFFERSON DAVIS HWY
DUMFRIES, VA22026
Phone: 703-221-7467
Fax: 401-770-7108
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for VIRGINIA CVS PHARMACY, L.L.C.

NPI Number 1245428416
Legal business name
LBN
VIRGINIA CVS PHARMACY, L.L.C.
Authorized official CRISTIANA MAURICIO - (MANAGER, PHARMACY ENROLLMENTS)
Entity Organization
Organization subpart No
Enumeration date 10/12/2007
Last updated 07/17/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • VA Medicaid: 1245428416 RX-DME
  • VA Other: 4840547 NCPDP

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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