WEST VIRGINIA CVS PHARMACY LLC (NPI# 1598868242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598868242 |
| Entity Type | Organization |
| Organization Name | WEST VIRGINIA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY 03439 |
| Practice Address |
505 Randolph Ave Elkins WV 26241-3948 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 3046365696 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 550562 | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 5001108 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY 03439 | 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 |
505 RANDOLPH AVE |
| City | ELKINS |
| State | WV |
| Zip Code | 26241-3948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130585 | Haley Marie Smith | Pharmacist | 505 Randolph Ave, Elkins, WV 26241-3948 | 2020-10-08 |
| 1881291698 | Jenny Natasha Johanns | Pharmacist | 505 Randolph Ave, Elkins, WV 26241-3948 | 2020-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507625 | Cindy Phillips | Technician | 2068 Files Creek Road, Elkins, WV 26241 | 2020-10-30 |
| 1316544224 | Brittany Underwood | Technician | 27 Midway Loop Rd., Elkins, WV 26241 | 2020-10-04 |
| 1740895820 | Brandie Elaine Lambert | Technician | 1 Fifth Street, Elkins, WV 26241 | 2020-09-15 |
| 1174134118 | Sherri Lynn Stahl | Technician | 36 Midland Street, Elkins, WV 26241 | 2020-08-13 |
| 1447861489 | Gwyn Esther Reynolds | Technician | 2685 Wesley Chapel Rd, Dunmore, WV 26241 | 2020-08-13 |
| 1578173092 | Stephen Foy | Technician | 216 Davis Street, Elkins, WV 26241 | 2020-08-10 |
| 1497364913 | Renee Taylor | Technician | Lot 12 Valley View Mhp, Elkins, WV 26241 | 2020-07-30 |
| 1811506959 | Roxanna E Cooper | Case Manager/Care Coordinator | #1 Fifth Street, Elkins, WV 26241 | 2020-07-24 |
| 1194379479 | Kevin Robert Lambert | Optometrist | 205 Chenoweth Creek Rd, Elkins, WV 26241 | 2019-07-25 |
| 1003318841 | Anna Foster | Nurse Practitioner | 911 Gorman Ave. #201, Elkins, WV 26241 | 2018-03-07 |
| Find all providers in zip 26241 | ||||
| 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 |
|---|---|---|---|---|
| 1033402359 | Fast & Friendly Pharmacy LLC | Pharmacy | 1513 Harrison Ave Ste 18, Elkins, WV 26241-3356 | 2011-05-19 |
| 1558455865 | Medicine Shoppe Pharmacy | Pharmacy | 1513 Harrison Ave, Elkins, WV 26241-3356 | 2006-10-03 |
| 1841224623 | Kroger Limited Partnership I | Pharmacy | 450 11th St, Elkins, WV 26241-3765 | 2006-07-10 |
| 1659431898 | Health Facilities Inc | Pharmacy | 812 Gorman Ave, Elkins, WV 26241-3181 | 2006-12-11 |
| 1881625929 | Kmart Operations LLC | Pharmacy | 731 Beverly Pike, Elkins, WV 26241-9729 | 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 | ||||
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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.