RITE AID OF WEST VIRGINIA INC (NPI# 1609985944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609985944 |
| Entity Type | Organization |
| Organization Name | RITE AID OF WEST VIRGINIA INC |
| Other Organization Name | RITE AID PHARMACY 01992 |
| Practice Address |
164 Holden Road Mount Gay WV 25637 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 3042392020 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-09-28 |
| Authorized Official Name | JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION) |
| Authorized Official Telephone | 7179755937 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
550139 | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 5008695 | 01 | |
| WV | 0013175101 | 05 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 01992 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932359874 | Rite Aid of West Virginia Inc | Durable Medical Equipment & Medical Supplies | 7916 Winchester Avenue, Inwood, WV 25428-4066 | 2008-09-29 |
| 1609031913 | Rite Aid of West Virginia Inc | Durable Medical Equipment & Medical Supplies | 74 Joshua M Freeman Boulevard, Ranson, WV 25438-5694 | 2008-07-25 |
| 1841389509 | Rite Aid of West Virginia Inc | Pharmacy | 100 Colliers Way, Weirton, WV 26062-4000 | 2006-10-12 |
| 1114016870 | Rite Aid of West Virginia Inc | Durable Medical Equipment & Medical Supplies | 381 Patteson Drive, Suncrest Shopping Plaza, Morgantown, WV 26505 | 2006-10-12 |
| 1932298692 | Rite Aid of West Virginia Inc | Durable Medical Equipment & Medical Supplies | 415 East Main Street, Kingwood, WV 26537-1701 | 2006-10-12 |
| 1083715528 | Rite Aid of West Virginia Inc | Durable Medical Equipment & Medical Supplies | 18116 Webster Road, Craigsville, WV 26208 | 2006-09-26 |
| 1356442891 | Rite Aid of West Virginia Inc | Durable Medical Equipment & Medical Supplies | 448 Appalachian Highway, Pineville, WV 24874-0570 | 2006-09-26 |
| 1184735250 | Rite Aid of West Virginia Inc | Durable Medical Equipment & Medical Supplies | 1731 Harper Road, Beckley, WV 25801-3311 | 2006-08-31 |
| 1417068503 | Rite Aid of West Virginia Inc | Durable Medical Equipment & Medical Supplies | 719 Johnstown Road, Beckley, WV 25801 | 2006-08-31 |
| 1336250497 | Rite Aid of West Virginia Inc | Durable Medical Equipment & Medical Supplies | 2102 Warwood Avenue, Wheeling, WV 26003-7106 | 2006-08-31 |
| Street Address |
164 HOLDEN ROAD |
| City | MOUNT GAY |
| State | WV |
| Zip Code | 25637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978536 | Eric Lloyd | Pharmacist | 360 Mount Gay Road, Mount Gay, WV 25637 | 2020-09-24 |
| 1649880162 | Regina A England | Technician | 15 Amanda Lane, Mount Gay, WV 25637 | 2020-08-10 |
| 1376153999 | Kristin L Caudill | Technician | 107 Heartstrings Ave, Mount Gay, WV 25637 | 2020-08-07 |
| 1194289934 | Bp6 LLC | Pharmacy | 360 Mount Gay Rd, Mount Gay, WV 25637 | 2019-01-25 |
| 1275018798 | Robertson Pharmacy, LLC | Pharmacy | 360 Mt. Gay Road, Mt. Gay, WV 25637 | 2018-10-01 |
| 1932545647 | Daniel Ryan Mullins | Pharmacist | 164 Holden Rd, Mount Gay, WV 25637 | 2013-05-21 |
| 1467756486 | Olivia Grantham | Pharmacist | Us Rt 119 Holden Rd, Mount Gay, WV 25637 | 2011-01-05 |
| 1134368921 | Dana Weekley | Pharmacist | Us Rt 119 Holden Road, Mt. Gay, WV 25637 | 2009-02-18 |
| 1437224367 | Earl Claycomb | Pharmacist | Old Route 119, Mount Gay, WV 25637 | 2006-11-24 |
| 1871144899 | Siddarthan Ilangovan | Pharmacist | 360 Mount Gay Rd, Bypass Pharmacy # 6, Mount Gay, WV 25637 | 2019-09-20 |
| Find all providers in zip 25637 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235655200 | Walgreen Co | Pharmacy | 164 Holden Rd, Mount Gay, WV 25637-1251 | 2017-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831601 | Ritchie Community Pharmacy | Pharmacy | 138 Cherry St, Harrisville, WV 26362 | 2020-11-03 |
| 1396342150 | Stephen Claude Shrewsberry | Pharmacy | 240 Sweet Grass Ct, Rock, WV 24747-9542 | 2020-10-05 |
| 1477150241 | Tyler Alan Bailey | Pharmacy | 700 Professional Park Dr, Summersville, WV 26651-2000 | 2020-10-05 |
| 1629684162 | Fast & Friendly Pharmacy Buckhannon LLC | Pharmacy | 57 N Locust St, Buckhannon, WV 26201-2231 | 2020-09-21 |
| 1336754647 | Smph LLC | Pharmacy | 5759 Williamsport Pike, Suite 105, Falling Waters, WV 25419 | 2020-09-14 |
| 1063043891 | Whitesville Family Pharmacy, Inc | Pharmacy | 38800 Coal River Rd, Whitesville, WV 25209 | 2020-01-30 |
| 1992344568 | Mountain Valley LLC | Pharmacy | 827 Fairmont Rd Ste 104, Morgantown, WV 26501-3857 | 2019-12-31 |
| 1366080699 | Freedom Pharmacy | Pharmacy | 1520 Main St E, Oak Hill, WV 25901-2745 | 2019-12-17 |
| 1386288264 | Bfprx LLC | Pharmacy | 198 Morgantown St Ste 1, Bruceton Mills, WV 26525-5003 | 2019-11-04 |
| 1881235273 | Bison Rx Inc. | Pharmacy | 20442 Charleston Rd, Buffalo, WV 25033 | 2019-10-07 |
| 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.