WEST VIRGINIA CVS PHARMACY, L.L.C. (NPI# 1417345901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417345901 |
| Entity Type | Organization |
| Organization Name | WEST VIRGINIA CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY #10364 |
| Practice Address |
496 High St Morgantown WV 26505-5529 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 3042840499 |
| Practice Fax Number | 3042840143 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-07-27 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR-PAYER RELATIONS) |
| 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 | WV | Suppliers | |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
WV | Suppliers | |
| Y | 333600000X | Pharmacy | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | NCPDP | 5056343 | 01 |
| WV | 390006880 | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #10364 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205231495 | West Virginia Cvs Pharmacy, L.L.C. | Pharmacy | 278 East Main St., Milton, WV 25541-1506 | 2014-10-30 |
| 1285039727 | West Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 885 Oakwood Rd., Charleston, WV 25314 | 2014-10-27 |
| Street Address |
496 HIGH ST |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505-5529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948394 | Adenike Egbele | Pharmacist | 496 High St, Morgantown, WV 26505-9800 | 2020-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
| 1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
| 1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
| 1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
| 1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
| 1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
| 1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
| 1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
| 1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
| Find all providers in zip 26505 | ||||
| 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 |
|---|---|---|---|---|
| 1225265341 | Dbs LLC | Pharmacy | 7000 Mid Atlantic Dr, Morgantown, WV 26508-4292 | 2009-06-16 |
| 1891836524 | Wiggins Drugs Limited | Pharmacy | 255 W Gl Smith St, Morgantown, KY 42261 | 2007-02-08 |
| 1851456289 | Suncrest Pharmacy Inc | Pharmacy | 3121 University Ave, Morgantown, WV 26505-3238 | 2006-12-26 |
| 1154402279 | Prescription Center, Inc. | Pharmacy | 211 S. Main Street, Morgantown, KY 42261-1640 | 2006-10-17 |
| 1811970775 | Suncrest Pharmacy | Pharmacy | 509 Ashebrooke Sq, Morgantown, WV 26508-4465 | 2005-11-23 |
| 1184015802 | West Virginia University Hospitals Inc | Pharmacy | 390 Birch Street, Morgantown, WV 26505 | 2015-02-17 |
| 1578721460 | Renner's Pharmacy | Pharmacy | 781 Chestnut Ridge Rd, Renner's Pharmacy, Morgantown, WV 26505-2730 | 2008-05-28 |
| 1629099684 | Waterfront Family Pharmacy LLC | Pharmacy | 215 Don Knotts Blvd, Ste 120, Morgantown, WV 26501-0113 | 2006-07-22 |
| 1790716835 | K Mart Corp | Pharmacy | 6540 Mall Rd, Morgantown, WV 26501-8525 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821601592 | Ashton Blake Sparks | Pharmacy | 21 Pyramid Dr Apt 620, Huntington, WV 25705-3269 | 2020-08-24 |
| 1609418268 | Winfield Family Pharmacy | Pharmacy | 12044 Winfield Road, Winfield, WV 25213 | 2019-10-15 |
| 1295382083 | Shelby Paige Humphrey | Pharmacy | Marshall School of Pharmacy One John Marshall Drive, Huntington, WV 25755-0001 | 2019-08-26 |
| 1194289934 | Bp6 LLC | Pharmacy | 360 Mount Gay Rd, Mount Gay, WV 25637 | 2019-01-25 |
| 1316424948 | Team J & J Corp | Pharmacy | 48 1/2 W. 2nd Ave, Williamson, WV 25661 | 2018-07-26 |
| 1053825711 | Genoa Healthcare, LLC | Pharmacy | 101 S Eisenhower Dr Ste P, Beckley, WV 25801-4929 | 2017-11-16 |
| 1336661834 | Rainelle Medical Center, Inc. | Pharmacy | 390 Industrial Park Rd, Maxwelton, WV 24957-8073 | 2017-07-17 |
| 1447783931 | Pharmacole Inc | Pharmacy | 13030 Shortline Hwy, Pine Grove, WV 26419-8291 | 2017-04-11 |
| 1033564893 | New Trail Clinical Pharmacy Solutions | Pharmacy | 521 Jesse James Dr, Rock, WV 24747-9779 | 2016-04-29 |
| 1386005148 | New River Health Association, Inc | Pharmacy | 217 W Maple Ave, Fayetteville, WV 25840-1413 | 2016-03-08 |
| Find all providers with the same taxonomy | ||||
| City | MORGANTOWN |
| Zip Code | 26505 |
Please comment or provide details below to improve the information on WEST VIRGINIA CVS PHARMACY, L.L.C..
| 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.