WEST VIRGINIA CVS PHARMACY LLC (NPI# 1326121955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326121955 |
| Entity Type | Organization |
| Organization Name | WEST VIRGINIA CVS PHARMACY LLC |
| Other Organization Name | TARGET PHARMACY |
| Practice Address |
300 Cabela Dr Triadelphia WV 26059-1023 |
| Mailing Address |
1 Cvs Dr Mail Code 1090 Woonsocket RI 02895-6146 |
| Practice Telephone | 3045472981 |
| Practice Fax Number | 3045472991 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-10-24 |
| 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 | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
MP0552338 | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2111628 | 01 | |
| WV | 3810007499 | 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 |
| 1235364043 | West Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 436 Retail Commons Pkwy, Martinsburg, WV 25403-6183 | 2009-05-22 |
| 1558532713 | West Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 46 Middleway Pike, Inwood, WV 25428-3713 | 2008-03-17 |
| 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 |
300 CABELA DR |
| City | TRIADELPHIA |
| State | WV |
| Zip Code | 26059-1023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659668549 | Jodee Lynne Weghorst | Pharmacist | 300 Cabela Dr, T-2231, Triadelphia, WV 26059-1023 | 2011-06-30 |
| 1013201011 | Lisa Miehle | Pharmacist | 300 Cabela Dr, T2231 Pharmacy, Triadelphia, WV 26059-1023 | 2011-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104828 | Theodora Ferrell | Case Manager/Care Coordinator | 4681 Dallas Pike, Triadelphia, WV 26059 | 2020-08-13 |
| 1205226867 | Regina Demasi | Nurse Practitioner | 2596 Battle Run Road, Triadelphia, WV 26059 | 2015-02-03 |
| 1912192428 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 515 Cabela Dr, Triadelphia, WV 26059 | 2007-09-07 |
| 1053415422 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 22 National Rd, Triadelphia, WV 26059 | 2006-09-07 |
| 1144423385 | Triadelphia Volunteer Fire Department Inc | Ambulance | 292 National Road, Triadelphia, WV 26059-0015 | 2007-06-06 |
| 1609965292 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 450 Stewart Ln, Triadelphia, WV 26059-1020 | 2006-10-12 |
| 1770184749 | Aric Beihl | Pharmacist | 450 Stewart Ln, Triadelphia, WV 26059-1020 | 2020-11-05 |
| 1467712083 | Jude Thaddeus Sheets | Pharmacist | 450 Stewart Ln, Triadelphia, WV 26059-1020 | 2012-05-17 |
| 1326127937 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 450 Stewart Ln, Triadelphia, WV 26059-1020 | 2006-11-03 |
| 1538774401 | Triadelphia of West Virginia Dental Pllc | Dentist | 219 Cabela Dr, Triadelphia, WV 26059-1022 | 2020-09-09 |
| Find all providers in zip 26059 | ||||
| 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 |
|---|---|---|---|---|
| 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 | TRIADELPHIA |
| Zip Code | 26059 |
Please comment or provide details below to improve the information on WEST VIRGINIA CVS PHARMACY LLC.
| 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.