WEST VIRGINIA CVS PHARMACY LLC (NPI# 1417050170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417050170 |
| Entity Type | Organization |
| Organization Name | WEST VIRGINIA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY 04432 |
| Practice Address |
300 4th Ave Montgomery WV 25136-2204 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 3044422431 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2012-03-08 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR) |
| Authorized Official Telephone | 4017651500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 551190 | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 5010234 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY 04432 | 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 |
| 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 |
| Street Address |
300 4TH AVE |
| City | MONTGOMERY |
| State | WV |
| Zip Code | 25136-2204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861618738 | Saghir Ur Rehman Mir | Orthopaedic Surgery | 401 6th Avenue, Suite 302, Montgomery, WV 25136 | 2007-04-18 |
| 1871684324 | Montgomery General Hospital, Inc. | Skilled Nursing Facility | 401 Sixth Avenue, Montgomery, WV 25136 | 2006-09-28 |
| 1124070149 | Adin Lim Timbayan | General Practice | 411 Washington St, Montgomery, WV 25136 | 2006-05-17 |
| 1902350275 | Willard Truman Long Jr. | Social Worker | 410 Ferry St, Montgomery, WV 25136 | 2016-08-04 |
| 1922160787 | Adin L Timbayan Md Inc | General Practice | 411 Washington St, Montgomery, WV 25136 | 2006-12-15 |
| 1245281195 | Victoria Santos Timbayan | General Practice | 411 Washington St, Montgomery, WV 25136 | 2006-05-15 |
| 1295809507 | Lou Ann Bowen | Anesthesiology | 401 6th Ave, Montgomery, WV 25136-0270 | 2006-11-20 |
| 1063591816 | Karon Rae Myers | Registered Nurse | 401 Sixth Avenue, Montgomery General Hospital, Montgomery, WV 25136-0270 | 2006-11-03 |
| 1467614933 | Arpan Kohli | Student in an Organized Health Care Education/Training Program | 420 3rd Ave, Montgomery, WV 25136-2101 | 2008-06-26 |
| 1437525714 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 506 3rd Ave, Montgomery, WV 25136-2102 | 2015-08-20 |
| Find all providers in zip 25136 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730632787 | I V Stat Inc | Pharmacy | 3801 Oak Grove Dr Apt 103, Montgomery, AL 36116-1169 | 2016-07-26 |
| 1013363381 | Jones Drugs LLC | Pharmacy | 59 W Fairview Ave, Montgomery, AL 36105-1613 | 2016-05-05 |
| 1154797629 | Jones Drugs LLC | Pharmacy | 1751 Upper Wetumpka Rd, Montgomery, AL 36107-1225 | 2015-08-19 |
| 1356669915 | Seib Pharmacy | Pharmacy | 101 South Union Street, Montgomery, AL 36104 | 2010-05-06 |
| 1457539710 | Parks Pharmacy | Pharmacy | 1323 Mulberry St Ste A, Montgomery, AL 36106-1545 | 2008-02-08 |
| 1003981598 | Montgomery Drug Co Inc. | Pharmacy | 3016 Mcgehee Rd, Montgomery, AL 36111-2203 | 2006-11-21 |
| 1245312024 | Montgomery Drug Company Inc | Pharmacy | 934 Adams Ave, Montgomery, AL 36104-4422 | 2006-10-20 |
| 1881795938 | Richardson Cloverdale Pharmacy | Pharmacy | 1069 Woodley Rd, Montgomery, AL 36106-2429 | 2006-09-25 |
| 1023117348 | Brookshire Brothers Inc | Pharmacy | 21005 Eva St, Montgomery, TX 77356-1897 | 2006-09-22 |
| 1134228497 | Thrift Drug Inc | Pharmacy | 1551 Valley Forge Road, Montgomery, PA 19446 | 2006-09-22 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 25136 |
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.