Organization
CREATIVE PHARMACY SOLUTIONS EAST LLC
Active
Other names
Pharmacy Innovations
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MOON (OWNER)
(716) 720-5121
Entity
Organization
Contact information
Practice address
4001 VIRGINIA BEACH BLVD STE 110, VIRGINIA BEACH, VA 23452-1759
(757) 934-0533
(757) 228-3991
Mailing address
2535 JOHNS PL, JAMESTOWN, NY 14701-9210
(716) 720-5121
(716) 708-6248
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
0201003136
VA
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700894649
—
VA
01
—
2154895
PK
—
Enumeration date
08/04/2006
Last updated
07/13/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us