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Dr. Michelle Nancy Widholm , PharmD

Physician β€’ Richmond, VA

Active NPI 1598369902 Individual Practitioner Female Practitioner
Practice location in NPPES

2400 E Main St
Richmond, VA 232237846

Call 8046431383 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2400 E Main St

Richmond, VA 232237846

Telephone 8046431383
Fax 8046431388
Organization at the Same NPPES Address or Phone
Virginia Cvs Pharmacy, L.l.c. Facility NPI 1770687444

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-05-16
Pharmacy - Community/Retail Pharmacy Primary Specialty

NUCC Taxonomy Code: 3336C0003X

License # reported to NPPES VA 0202215003

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Business Mailing Address May 16, 2023

Registered at 2400 E MAIN ST, RICHMOND, VA 232237846 (Tel: 8046431383)

βœ…
NPI Profile Active November 25, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 25, 2020

Registered at 2400 E MAIN ST, RICHMOND, VA 232237846 (Tel: 8046431383)

πŸ“
Business Mailing Address (Initial Record) November 25, 2020

Registered at 8531 DEN BARK DR, NORTH CHESTERFIELD, VA 232356515 (Tel: 8609162521)

πŸ‘€
Provider Name / Credentials (Initial Record) November 25, 2020

Recorded as MICHELLE WIDHOLM, PHARM.D

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 25, 2020

Pharmacy (license number reported to NPPES: VA 0202215003)

🟒
Initial NPI Registration & Enumeration November 25, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1598369902
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 25, 2020
Last Update: May 16, 2023
Sole Proprietor: Yes

Mailing Address

2400 E Main St

Richmond, VA 232237846

Phone: 8046431383

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.