WEST VIRGINIA CVS PHARMACY LLC (NPI# 1508969262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508969262 |
| Entity Type | Organization |
| Organization Name | WEST VIRGINIA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY 06318 |
| Practice Address |
105 South State St Athens WV 24712 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 3043847851 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2012-03-09 |
| Authorized Official Name | SUSAN COLBERT (DIR PHCY ENROLLMENTS) |
| 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 | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 551126 | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 5009558 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY 06318 | 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 |
105 SOUTH STATE ST |
| City | ATHENS |
| State | WV |
| Zip Code | 24712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649771809 | Brandy Lea Morrison | Specialist/Technologist | Concord University 1000 Vemillion Street, Athens, WV 24712 | 2018-02-23 |
| 1801330915 | Cami Maxwell | Nurse Practitioner | 274 Nelsie Lane, Athens, WV 24712 | 2016-12-08 |
| 1073056529 | Tracy Leigh Mccallister Gill | Specialist/Technologist | 1000 Vermillion St., Athens, WV 24712 | 2016-11-30 |
| 1578789731 | Natasha Nicola Barker | Physician Assistant | 401 Vermillion Street, Athens, WV 24712 | 2007-04-17 |
| 1972610863 | Princeton Community Hospital Assn., Inc | Family Medicine | 401 Vermillion St., Athens, WV 24712 | 2006-08-24 |
| 1295763050 | Jennifer Lynn Hvozdovic Koerber | Specialist/Technologist | 1000 Vermillion Street, Campus Box 77, Athens, WV 24712 | 2006-06-29 |
| 1265889844 | Mark Allen Yost | Family Medicine | 401 Vermillion Street, Athens, WV 24712-0697 | 2016-05-24 |
| 1801996657 | Charles Edward Lane Jr. | Dentist | State Route 20 North, Athens, WV 24712-0915 | 2006-09-22 |
| 1972110781 | Jessica Ann Thompson | Technician | 110 Vermillion St Apt 8, Athens, WV 24712-1130 | 2020-09-25 |
| 1821602830 | Amber Marie Green | Pharmacist | 105 S State St, Athens, WV 24712-1237 | 2020-09-08 |
| Find all providers in zip 24712 | ||||
| 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 |
|---|---|---|---|---|
| 1962064337 | Star Valley Pharmacy | Pharmacy | 4 E Washington Ave Ste 200, Athens, TN 37303-3674 | 2019-07-05 |
| 1437690567 | Gleason Pharmacy Services Inc | Pharmacy | 214 Abe Lincoln Dr Unit 2, Athens, IL 62613-7800 | 2017-03-08 |
| 1427325067 | Kaiser Foundation Health Plan of Georgia Inc | Pharmacy | 2142 W Broad St Bldg 200, Athens, GA 30606-3509 | 2011-11-28 |
| 1629394820 | Board of Regents of The University System of Georgia | Pharmacy | Uga College of Pharmacy, 240 Green Street, Athens, GA 30602-0001 | 2010-04-13 |
| 1073678405 | Buy Wise Drugs Inc | Pharmacy | 740 N Chase St, Athens, GA 30601-1902 | 2006-12-26 |
| 1386705150 | Athens Pharmacy Inc | Pharmacy | 106 S Capital Ave, Athens, MI 49011-5102 | 2006-12-13 |
| 1639242100 | Brookshire Grocery Company | Pharmacy | 807 E Tyler St, Attention Pharmacy Dept, Athens, TX 75751-2139 | 2006-11-15 |
| 1235201013 | Hansford Pharmacy Services LLC | Pharmacy | 1135 Cedar Shoals Dr, Bldg 6 Suite A, Athens, GA 30605-5299 | 2006-11-15 |
| 1588757694 | Southern Family Markets LLC | Pharmacy | 4025 Lexington Rd, Athens, GA 30605-2527 | 2006-10-02 |
| 1679666788 | Southern Family Markets LLC | Pharmacy | 625 Athens Town Center, Athens, AL 35611 | 2006-10-02 |
| Find all providers in ATHENS | ||||
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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.