RAYMOND HAWK (NPI# 1477069920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477069920 |
| Entity Type | Individual |
| Full Name | RAYMOND HAWK |
| Practice Address |
97 Williams Dr Spencer WV 25276-1825 |
| Practice Telephone | 3049276931 |
| Practice Fax Number | 3049276935 |
| Mailing Telephone | 3049276931 |
| Mailing Fax Number | 3049276935 |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2017-12-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 4547 | WV | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
4547 | WV | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | NABP | 507176 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134308448 | Raymond Lawrence Hawk | Physician Assistant | 13071 Nett Lake Rd, Orr, MN 55771-8111 | 2007-11-02 |
| Street Address |
97 WILLIAMS DR |
| City | SPENCER |
| State | WV |
| Zip Code | 25276-1825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285651323 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 97 Williams Dr, Spencer, WV 25276-1825 | 2006-07-16 |
| 1295217461 | Christine Marie Kucherawy | Pharmacist | 97 Williams Dr, Spencer, WV 25276-1825 | 2018-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972019453 | Patricia Ann May | Technician | 3353 Lick Fork Road, Spencer, WV 25276 | 2017-12-20 |
| 1053518399 | Kelly Jean Fry | Naturopath | 142 East Main St., Spencer, WV 25276 | 2007-06-29 |
| 1194877019 | Edward L. Moore | Dentist | 533 Ripley Road, Spencer, WV 25276 | 2007-01-18 |
| 1912068180 | Life Guard Inc. | Durable Medical Equipment & Medical Supplies | 101 Locust Ave., Spencer, WV 25276 | 2006-12-12 |
| 1063509263 | Hospital Development Co. | Medicare Defined Swing Bed Unit | 200 Hospital Drive, Spencer, WV 25276 | 2006-10-07 |
| 1508826462 | Precilla T Famularcano | Family Medicine | 141 Main Street, Spencer, WV 25276 | 2006-03-24 |
| 1669822011 | Julie M Morgan | Physician Assistant | 146 Williams Dr, Spencer, WV 25276 | 2016-06-16 |
| 1326331018 | David Elias Mick | Pharmacist | 218 Market St, Spencer, WV 25276 | 2011-05-27 |
| 1831228733 | Christopher Kyle Mealey | Pharmacist | 200 Hospital Drive, Spencer, WV 25276 | 2007-03-05 |
| 1093860256 | Roane County Emergency Squad, Inc. | Ambulance | 200 East Main Street, Spencer, WV 25276 | 2007-01-25 |
| Find all providers in zip 25276 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346640406 | Angela Dawkins | Pharmacist | 9503 Middletown Mall, Fairmont, WV 26554-2195 | 2014-08-26 |
| 1336401892 | Jeffrey Davis Eddy | Pharmacist | 2792 Keller Ln, Williamstown, WV 26187-8309 | 2012-06-11 |
| 1780988022 | Gregg Michael Stern | Pharmacist | 505 Virginia Ave., Smithers, WV 25186-0577 | 2010-12-30 |
| 1922301035 | Dwan Shasta Hamons | Pharmacist | 180 Red Oaks Shopping Center, Ronceverte, WV 24970 | 2010-12-10 |
| 1053636704 | Patrick Robert Huffman | Pharmacist | 200 Veterans Avenue, Beckley, WV 25801 | 2010-04-06 |
| 1548425994 | Laurie Ann Fromm | Pharmacist | 112 Partridge Ln, Beckley, WV 25801-3606 | 2008-07-25 |
| 1295341741 | Lindsey Christine Judy | Pharmacist | 72 Whitewater Ave, Fayetteville, WV 25840-9648 | 2020-09-21 |
| 1700490125 | Kate Forman | Pharmacist | 4205 Maccorkle Ave Se, Charleston, WV 25304-2501 | 2020-09-02 |
| 1477162964 | Robert Logan Moneypenny | Pharmacist | 1 Medical Center Dr, Dept of Pharmaceutical Services 8045, Morgantown, WV 26506-1200 | 2020-07-30 |
| 1174132088 | Megan Ciborowski | Pharmacist | 1 Medical Center Dr Dept Of, Morgantown, WV 26506-1200 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
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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.