LARRY N PETHTEL (NPI# 1104129329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104129329 |
| Entity Type | Individual |
| Full Name | LARRY N PETHTEL |
| Credential | RPH |
| Practice Address |
1439 Maccorkle Ave. Saint Albans WV 25177 |
| Mailing Address |
218 Parkview Drive Saint Albans WV 25177 |
| Practice Telephone | 3047225086 |
| Practice Fax Number | 3047225089 |
| Mailing Telephone | 3047224574 |
| Mailing Fax Number | 3047225089 |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2010-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 3332 | WV | Pharmacy Service Providers |
| Street Address |
1439 MACCORKLE AVE. |
| City | SAINT ALBANS |
| State | WV |
| Zip Code | 25177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043655 | Lauren E. Anderson | Technician | 414 Lore Street, St. Albans, WV 25177 | 2020-11-04 |
| 1235730433 | Laura Crist | Technician | 1400 Highland Dr. Apt. #104, St. Albans, WV 25177 | 2020-11-04 |
| 1750982070 | Kathy Carden | Technician | 2734 Knox. Ave., St. Albans, WV 25177 | 2020-11-03 |
| 1245837012 | Donald Troy Blum | Pharmacist | 201 Maccorkle Avenue, St. Albans, WV 25177 | 2020-10-05 |
| 1073022067 | Comprehensive Occupational Med, Physicals, Acad, & Surveillance Sol. | Preventive Medicine | 175 Smiley Drive, St. Albans, WV 25177 | 2017-09-22 |
| 1104291608 | Melinda K. Henline, Ma, Pllc | Psychologist | 200 Kanawha Terrrace, Suite 103, St. Albans, WV 25177 | 2015-12-09 |
| 1285075796 | Brandon Tincher | Physical Therapy Assistant | 2501 Mountain View Drive, St. Albans, WV 25177 | 2013-07-12 |
| 1952580698 | Behavioral Health Solutions LLC | Community/Behavioral Health | 235 Woods Dr, St Albans, WV 25177 | 2007-10-30 |
| 1336284520 | Lagrimas Babiera Sadorra | Family Medicine | 200 Kanawha Terrace, St Albans, WV 25177 | 2007-02-21 |
| 1255489936 | Amy Dale Casto | Family Medicine | 612 5th St., Saint Albans, WV 25177 | 2007-01-08 |
| Find all providers in zip 25177 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902159486 | Shannon Marie Kennedy | Pharmacist | 1477 Maccorkle Ave, Saint Albans, WV 25177-1826 | 2012-10-20 |
| 1104178060 | Khaled Ali | Pharmacist | 20543 Linden Blvd, Saint Albans, NY 11412-2925 | 2012-10-02 |
| 1114273406 | Charles Edwin Smith | Pharmacist | 1477 Mccorkle Ave, Kmart Pharmacy 3198, Saint Albans, WV 25177-1826 | 2012-07-24 |
| 1528367869 | Gayle Rittenhouse | Pharmacist | 305 6th Ave, Saint Albans, WV 25177-2838 | 2011-03-25 |
| 1407185978 | Alla Abigail Alayeva | Pharmacist | 20011 Hollis Ave, Saint Albans, NY 11412-1711 | 2009-12-13 |
| 1528668712 | Angela Anne Mccarthy | Pharmacist | 700 Tuckers Way, Saint Albans, VT 05478-2628 | 2020-10-28 |
| 1154935575 | Sara Marie Higgins | Pharmacist | 201 Maccorkle Ave, Saint Albans, WV 25177-1825 | 2020-09-02 |
| 1982218624 | Stefanie Brooke Stutler | Pharmacist | 201 Maccorkle Ave, Saint Albans, WV 25177-1825 | 2020-09-01 |
| 1043840655 | Sheyda Farhoomand | Pharmacist | 133 N Main St, Saint Albans, VT 05478-1590 | 2020-01-22 |
| 1306485651 | Jessica Aboelezz | Pharmacist | 700 Tuckers Way, Saint Albans, VT 05478-2628 | 2020-01-04 |
| Find all providers in SAINT ALBANS | ||||
| City | SAINT ALBANS |
| Zip Code | 25177 |
Please comment or provide details below to improve the information on LARRY N PETHTEL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.