Healthcare Provider Details
I. General information
NPI: 1861048555
Provider Name (Legal Business Name): COMMONSHARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/17/2019
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1717 BELLEVUE AVE
RICHMOND VA
23227-3961
US
IV. Provider business mailing address
1602 SKIPWITH RD # 201
HENRICO VA
23229-5205
US
V. Phone/Fax
- Phone: 804-688-1777
- Fax: 804-401-1035
- Phone: 804-424-0551
- Fax: 804-967-3999
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QH0100X |
| Taxonomy | Health Service Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
WILLIAM
M
WEIMER
II
Title or Position: EXEC DIRECTOR
Credential:
Phone: 804-416-6255