COREY MCPHERSON (NPI# 1205436664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205436664 |
| Entity Type | Individual |
| Full Name | COREY MCPHERSON |
| Practice Address |
204 Town Center Rd Fayetteville WV 25840-9540 |
| Mailing Address |
314 Cahill Dr Princeton WV 24740-3971 |
| Practice Telephone | 3045741279 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0012222 | WV | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 12222 | WV | Pharmacy Service Providers |
| Street Address |
204 TOWN CENTER RD |
| City | FAYETTEVILLE |
| State | WV |
| Zip Code | 25840-9540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700827144 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 204 Town Center Rd, Fayetteville, WV 25840-9540 | 2006-06-09 |
| 1770183352 | Matthew Wriston | Pharmacist | 204 Town Center Rd, Fayetteville, WV 25840-9540 | 2020-10-31 |
| 1518485564 | Eric Matthew Morris | Pharmacist | 204 Town Center Rd, Fayetteville, WV 25840-9540 | 2017-08-30 |
| 1811914948 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 204 Town Center Rd, Fayetteville, WV 25840-9540 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447766639 | Nancy Carol Myles | Technician | 171 Wood Rd, Fayetteville, WV 25840 | 2017-12-26 |
| 1598933954 | Kembra Anne Crist | Registered Nurse | 111 Fayette Avenue, Fayette County Boe, Fayetteville, WV 25840 | 2008-02-19 |
| 1003004854 | Edward Lee Winter | Psychologist | 111 Fayette Ave., Fayette County Schools, Fayetteville, WV 25840 | 2007-10-05 |
| 1811109432 | Anita Louise Swanson | Physical Therapist | 111 Fayette Ave, Fayetteville, WV 25840 | 2007-05-04 |
| 1003964008 | Krista L Copenhaver-mackowiak | Nurse Anesthetist, Certified Registered | 613 Crooked Run Rd, Fayetteville, WV 25840 | 2007-01-08 |
| 1922171024 | Carl Arthur Hansen | Dentist | 215 North Court St, Fayetteville, WV 25840 | 2006-11-16 |
| 1932202447 | Appalachian Regional Healthcare | Clinic/Center | 436 Elizabeth Way, Fayetteville, WV 25840 | 2006-09-07 |
| 1154424810 | West Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 72 Whitewater Ave, Fayetteville, WV 25840 | 2006-09-07 |
| 1447241310 | Karen L. Pettry-hultman | Family Medicine | Rr 3 Box 9, Fayetteville, WV 25840 | 2005-10-31 |
| 1598125577 | Jeanne Black | Registered Nurse | 111 Fayette Avenue, Fayette County Schools, Fayetteville, WV 25840 | 2016-03-03 |
| Find all providers in zip 25840 | ||||
| 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 |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1710587605 | Jordan Tyler Reed | Pharmacist | 2875 W Mlk Blvd, Fayetteville, AR 72704-7625 | 2020-10-29 |
| 1891395901 | Todd Johnson | Pharmacist | 660 W Mlk Blvd, Fayetteville, AR 72701-6443 | 2020-10-28 |
| 1669087953 | Elton Wayne Long | Pharmacist | 5106 Nc Highway 87 S Ste 100, Fayetteville, NC 28306-3424 | 2020-09-13 |
| 1013539501 | Lauren Lockhart | Pharmacist | 5106 Nc-87 #100, Fayetteville, NC 28306 | 2020-05-07 |
| 1548892268 | Kimberly Gardner | Pharmacist | 4205 Ferncreek Dr, Fayetteville, NC 28314-2537 | 2020-02-11 |
| 1326685249 | Belinda Diane Abrams | Pharmacist | 175 Jacob Ct, Fayetteville, GA 30214-7541 | 2019-12-10 |
| 1699332098 | Kyndra Williams | Pharmacist | 101 Robeson St Ste 101, Fayetteville, NC 28301-5552 | 2019-05-22 |
| 1235610098 | Debra W Nichol | Pharmacist | 217 W Maple Ave # 2, Fayetteville, WV 25840-1413 | 2018-08-28 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 25840 |
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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.