Healthcare Provider Details

I. General information

NPI: 1629722616
Provider Name (Legal Business Name): CHS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2022
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4336 ELECTRIC RD
ROANOKE VA
24018-0720
US

IV. Provider business mailing address

2001 CRYSTAL SPRING AVE SW
ROANOKE VA
24014-2462
US

V. Phone/Fax

Practice location:
  • Phone: 540-772-8700
  • Fax:
Mailing address:
  • Phone: 540-266-6191
  • Fax: 540-853-0910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ADRIAN SHAWN REID WILSON
Title or Position: DIRECTOR
Credential:
Phone: 540-266-6191