WEST VIRGINIA CVS PHARMACY LLC (NPI# 1235364043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235364043 |
| Entity Type | Organization |
| Organization Name | WEST VIRGINIA CVS PHARMACY LLC |
| Other Organization Name | TARGET PHARMACY |
| Practice Address |
436 Retail Commons Pkwy Martinsburg WV 25403-6183 |
| Mailing Address |
1 Cvs Dr Mail Code 1090 Woonsocket RI 02895-6146 |
| Practice Telephone | 3042645201 |
| Practice Fax Number | 3042645201 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2016-01-11 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
MP0552380 | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2120085 | 01 | |
| WV | 3810016547 | 05 |
| Other Name | Type Code |
|---|---|
| Target Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164858148 | West Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1000 Pineview Dr, Morgantown, WV 26505-2754 | 2013-09-23 |
| 1265663207 | West Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4205 Maccorkle Ave Se, Charleston, WV 25304-2501 | 2009-08-06 |
| 1558532713 | West Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 46 Middleway Pike, Inwood, WV 25428-3713 | 2008-03-17 |
| 1326121955 | West Virginia Cvs Pharmacy LLC | Pharmacy | 300 Cabela Dr, Triadelphia, WV 26059-1023 | 2006-10-24 |
| 1316041098 | West Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 45 S Mineral St, Keyser, WV 26726-3126 | 2006-09-12 |
| 1134223811 | West Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3901 Teays Valley Rd, Hurricane, WV 25526-9604 | 2006-09-12 |
| 1407950181 | West Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1200 Edwin Miller Blvd, Martinsburg, WV 25404-3702 | 2006-09-12 |
| 1225132905 | West Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 328 West Washington St, Charles Town, WV 25414-1534 | 2006-09-12 |
| 1962505610 | West Virginia Cvs Pharmacy LLC | Pharmacy | 121 10th St, Dunbar, WV 25064-3103 | 2006-09-07 |
| 1972606630 | West Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1405 Oak St, Kenova, WV 25530-1215 | 2006-09-07 |
| Street Address |
436 RETAIL COMMONS PKWY |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25403-6183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205349263 | Andrew Allen Harmon | Pharmacist | 436 Retail Commons Pkwy, Martinsburg, WV 25403-6183 | 2017-11-13 |
| 1992196497 | Kimberly Park | Pharmacy Technician | 436 Retail Commons Pkwy, Martinsburg, WV 25403-6183 | 2015-02-05 |
| 1841689536 | Denise Matheny | Pharmacist | 436 Retail Commons Pkwy, Martinsburg, WV 25403-6183 | 2015-01-18 |
| 1508265422 | Sarah Duckwall | Pharmacist | 436 Retail Commons Pkwy, Martinsburg, WV 25403-6183 | 2014-08-15 |
| 1154695021 | Kevan Marie Lee | Pharmacist | 436 Retail Commons Pkwy, Martinsburg, WV 25403-6183 | 2012-02-23 |
| 1114213360 | Robert M Gough | Pharmacist | 436 Retail Commons Pkwy, T-2538, Martinsburg, WV 25403-6183 | 2011-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366912339 | Elizabeth Hutzler | Registered Nurse | Berkeley County Brd of Education, 1453 Wincherster Avenue, Martinsubug, WV 25403 | 2018-12-03 |
| 1326442146 | Jennifer Anne Markovits | Pharmacist | 1171 Horizon Way, Martinsburg, WV 25403 | 2014-10-22 |
| 1255763819 | Parkhill Counseling, LLC | Counselor | 93 Crimson Cr., Martinsburg, WV 25403 | 2013-08-06 |
| 1265556039 | Andrea Christina Petrucci Kackley | Counselor | 2914 Hedgesville Road, Apple Ridge Counseling Associates, Martinsburg, WV 25403 | 2007-03-19 |
| 1568935583 | Joy Gesford | Registered Nurse | Berkeley County Board of Education, 1453 Winchester Avenue, Martinsburg, WV 25403 | 2019-01-03 |
| 1295203818 | Tina Cameron | Registered Nurse | Berkeley County Board of Education, 1453 Winchester Avenue, Martinsburg, WV 25403 | 2018-11-13 |
| 1376718882 | Patricia M Hartman | Dentist | 50 Street of Dreams, Martinsburg, WV 25403 | 2008-04-25 |
| 1700217585 | Thais Gonzalez | Nurse's Aide | 416 Gantt Dr, Martinsburg, WV 25403-0281 | 2013-12-04 |
| 1407319726 | Kimberly Anne Saul | Nurse Practitioner | 3 Ceritos Trl, Martinsburg, WV 25403-0300 | 2019-04-12 |
| 1962745950 | Jason Bryce Swalm | Emergency Medicine | 3 Ceritos Trail, Martinsburg, WV 25403-0300 | 2013-03-28 |
| Find all providers in zip 25403 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316596794 | Martinsburg Pharmacy LLC | Pharmacy | 900 Winchester Ave, Martinsburg, WV 25401-1762 | 2019-09-09 |
| 1104325588 | Donald Della | Pharmacy | 119 W Allegheny St, Martinsburg, PA 16662-1103 | 2018-02-12 |
| 1043533003 | City Pharmacy | Pharmacy | 970 Foxcroft Ave, Suite 101, Martinsburg, WV 25401-1835 | 2010-03-04 |
| 1689290702 | Jennifer Wood | Pharmacy | 134 S Queen St, Martinsburg, WV 25401-3316 | 2020-06-24 |
| 1417573569 | Elaine Loizos-hobday | Pharmacy | 134 S Queen St, Martinsburg, WV 25401-3316 | 2020-06-24 |
| 1265087753 | Mzm Pharmacy LLC | Pharmacy | 33 Meadow Ln Unit 7, Martinsburg, WV 25404-3807 | 2019-08-02 |
| 1174982946 | Apple Valley Pharmacy Inc. | Pharmacy | 970 Foxcroft Ave, Suite 101, Martinsburg, WV 25401-1850 | 2016-02-22 |
| 1821483033 | City Hospital, Inc. | Pharmacy | 2500 Hospital Dr, Martinsburg, WV 25401-3402 | 2015-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831601 | Ritchie Community Pharmacy | Pharmacy | 138 Cherry St, Harrisville, WV 26362 | 2020-11-03 |
| 1396342150 | Stephen Claude Shrewsberry | Pharmacy | 240 Sweet Grass Ct, Rock, WV 24747-9542 | 2020-10-05 |
| 1477150241 | Tyler Alan Bailey | Pharmacy | 700 Professional Park Dr, Summersville, WV 26651-2000 | 2020-10-05 |
| 1629684162 | Fast & Friendly Pharmacy Buckhannon LLC | Pharmacy | 57 N Locust St, Buckhannon, WV 26201-2231 | 2020-09-21 |
| 1336754647 | Smph LLC | Pharmacy | 5759 Williamsport Pike, Suite 105, Falling Waters, WV 25419 | 2020-09-14 |
| 1063043891 | Whitesville Family Pharmacy, Inc | Pharmacy | 38800 Coal River Rd, Whitesville, WV 25209 | 2020-01-30 |
| 1992344568 | Mountain Valley LLC | Pharmacy | 827 Fairmont Rd Ste 104, Morgantown, WV 26501-3857 | 2019-12-31 |
| 1366080699 | Freedom Pharmacy | Pharmacy | 1520 Main St E, Oak Hill, WV 25901-2745 | 2019-12-17 |
| 1386288264 | Bfprx LLC | Pharmacy | 198 Morgantown St Ste 1, Bruceton Mills, WV 26525-5003 | 2019-11-04 |
| 1881235273 | Bison Rx Inc. | Pharmacy | 20442 Charleston Rd, Buffalo, WV 25033 | 2019-10-07 |
| Find all providers with the same taxonomy | ||||
| City | MARTINSBURG |
| Zip Code | 25403 |
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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.