LOOP PLAZA PHARMACY COMPANY (NPI# 1104847722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104847722 |
| Entity Type | Organization |
| Organization Name | LOOP PLAZA PHARMACY COMPANY |
| Other Organization Name | LOOP PHARMACY AND HOME MEDICAL |
| Practice Address |
66 6th Ave Saint Albans WV 25177-2769 |
| Mailing Address |
Po Box 490 Saint Albans WV 25177-0490 |
| Practice Telephone | 3047222233 |
| Practice Fax Number | 3047277042 |
| Mailing Telephone | 3047222233 |
| Mailing Fax Number | 3047277042 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2012-04-10 |
| Authorized Official Name | WILLIAM STARRETT MCFARLAND (PRESIDENT) |
| Authorized Official Telephone | 3047272233 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 011010 | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 6204042000 | 05 |
| Other Name | Type Code |
|---|---|
| Loop Pharmacy and Home Medical | Doing Business As Name - Organization |
| Street Address |
66 6TH AVE |
| City | SAINT ALBANS |
| State | WV |
| Zip Code | 25177-2769 |
| 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 |
| 1104129329 | Larry N Pethtel | Pharmacist | 1439 Maccorkle Ave., Saint Albans, WV 25177 | 2010-12-09 |
| 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 |
| Find all providers in zip 25177 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770182537 | Ortho-aid Inc | Durable Medical Equipment & Medical Supplies | 20526 Linden Blvd, Saint Albans, NY 11412-2926 | 2020-10-22 |
| 1154824001 | Loop Home Medical, LLC | Durable Medical Equipment & Medical Supplies | 62 6th Ave, Saint Albans, WV 25177-2769 | 2018-03-16 |
| 1215447529 | Richard Rousseau | Durable Medical Equipment & Medical Supplies | 10423 198th St, Saint Albans, NY 11412-1215 | 2017-10-02 |
| 1811410418 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 133 N Main St Ste 23, Saint Albans, VT 05478-1735 | 2017-07-25 |
| 1962935346 | Mountain Medical LLC | Durable Medical Equipment & Medical Supplies | 39 Bay View Dr, Saint Albans, VT 05478-5151 | 2017-04-04 |
| 1679015986 | Vesretta Homecare & Supplies Inc. | Durable Medical Equipment & Medical Supplies | 19913 Murdock Ave, Saint Albans, NY 11412-2510 | 2016-11-17 |
| 1922431998 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 700 Tuckers Way, Saint Albans, VT 05478-2628 | 2013-08-14 |
| 1134460330 | New Era Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 18721 Jordan Ave, Saint Albans, NY 11412-2309 | 2013-03-13 |
| 1255676466 | Ideal Medical Supply | Durable Medical Equipment & Medical Supplies | 18826 119th Rd, Saint Albans, NY 11412-3604 | 2012-11-29 |
| 1336492073 | Vermont Medical Sleep Disorders Center, Inc. | Durable Medical Equipment & Medical Supplies | 6 Home Health Circle, Suite2, Saint Albans, VT 05478 | 2012-10-18 |
| Find all providers in SAINT ALBANS | ||||
| City | SAINT ALBANS |
| Zip Code | 25177 |
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| 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.