MEDICARE: VIRGINIA CVS PHARMACY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy
3	333600000X	Pharmacy	201002929	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00754751	OTHER		MEDICARE RR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	4826066	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1164525812
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIRGINIA CVS PHARMACY LLC

Provider Business Mailing Address
First Line	:	1 CVS DR
Second Line	:	PO BOX 1075
City	:	WOONSOCKET
State	:	RI
Zip	:	02895-6146
Country	:	US
Telephone Number	:	401-765-1500
Fax Number	:	401-770-7108

Provider Business Practice Location Address
First Line	:	2001 COLONIAL AVE SW
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24015-3210
Country	:	US
Telephone Number	:	540-342-1877
Fax Number	:

Authorized Official
Title or Position	:	EXEC DIR, RX SERVICES
Name	:	SUSAN F COLBERT
Credential	:
Telephone Number	:	401-770-2751

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	01/13/2023

Similar Medicare Providers

1831963172 — BREANNA L GRANT DPT
Practice Location Address:

2033 COLONIAL AVE SW STE 138
ROANOKE, VA
24015-3210

Practice Phone: 540-466-3981
Practice Fax: 540-739-7476

1457192353 — CASSIDY GILMORE DPT
Practice Location Address:

2033 COLONIAL AVE SW STE 138
ROANOKE, VA
24015-3210

Practice Phone: 540-466-3981
Practice Fax: 540-739-7476

1629370895 — ANNETTE GAY TARPLEY NP
Practice Location Address:

2001 COLONIAL AVE SW
ROANOKE, VA
24015-3210

Practice Phone: 540-342-1877
Practice Fax:

1316300221 — ELIZABETH HARKNESS SCOTT DPT
Practice Location Address:

2033 COLONIAL AVE SW
ROANOKE, VA
24015-3210

Practice Phone: 540-466-3981
Practice Fax: 540-739-7476

1316395916 — REGENA GEHO NP
Practice Location Address:

2001 COLONIAL AVE SW
ROANOKE, VA
24015-3210

Practice Phone: 866-389-2727
Practice Fax:

1538603527 — LAUREN R. SYLVAIN PT, DPT
Practice Location Address:

2033 COLONIAL AVE SW STE 138
ROANOKE, VA
24015-3210

Practice Phone: 540-466-3981
Practice Fax: 540-739-7476

Directions to “VIRGINIA CVS PHARMACY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.