WATERFRONT FAMILY PHARMACY LLC (NPI# 1629099684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629099684 |
| Entity Type | Organization |
| Organization Name | WATERFRONT FAMILY PHARMACY LLC |
| Other Organization Name | WATERFRONT FAMILY PHARMACY |
| Practice Address |
215 Don Knotts Blvd Ste 120 Morgantown WV 26501-0113 |
| Practice Telephone | 3042257979 |
| Practice Fax Number | 3042253784 |
| Mailing Telephone | 3042257979 |
| Mailing Fax Number | 3042253784 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2016-06-01 |
| Authorized Official Name | RACHAEL HUDSON (CO OWNER AND PHARM) |
| Authorized Official Telephone | 3042257979 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
SP0552324 | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810004619 | 05 | |
| PK | 2111571 | 01 |
| Other Name | Type Code |
|---|---|
| WATERFRONT FAMILY PHARMACY | Doing Business As Name - Organization |
| Street Address |
215 DON KNOTTS BLVD STE 120 |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26501-0113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417956053 | Larry Victor Starcher II | Emergency Medicine | 215 Don Knotts Blvd, Suite 130, Morgantown, WV 26501-6734 | 2005-07-15 |
| 1063990091 | Rachel Ann Snyder | Pharmacist | 215 Don Knotts Blvd, Morgantown, WV 26501-0113 | 2018-08-01 |
| 1649757246 | Kelsi Hines | Pharmacist | 215 Don Knotts Blvd, Morgantown, WV 26501-0113 | 2018-07-26 |
| 1033663455 | Shelley Calvert | Pharmacist | 215 Don Knotts Blvd, Suite 120, Morgantown, WV 26501-0113 | 2016-08-15 |
| 1528457579 | Karl William Sommer | Pharmacist | 215 Don Knotts Blvd, Suite 120, Morgantown, WV 26501-6734 | 2015-01-14 |
| 1578962551 | Jessica Hinson | Pharmacist | 215 Don Knotts Blvd, Morgantown, WV 26501-6734 | 2014-08-15 |
| 1457762916 | Tracy Wolfe | Pharmacist | 215 Don Knotts Blvd, Suite 120, Morgantown, WV 26501-6734 | 2014-05-17 |
| 1962772111 | Medexpress Urgent Care, Inc - West Virginia | Emergency Medicine | 215 Don Knotts Blvd, Suite 130, Morgantown, WV 26501-6734 | 2012-01-05 |
| 1598071250 | Gretchen M Garofoli | Pharmacist | 215 Don Knotts Blvd, Suite 120, Morgantown, WV 26501-6734 | 2010-08-19 |
| 1770749913 | Peggy Lee Ferguson | Nurse Practitioner | 215 Don Knotts Blvd, Suite 130, Morgantown, WV 26501-6734 | 2008-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528718 | Billie Jane Shrout | Technician | #4 Ami Dr, Morgantown, WV 26501 | 2020-11-02 |
| 1932668852 | Donald Brubaker | Student in an Organized Health Care Education/Training Program | Wvu Medicine, University Town Centre, 6040 University Town Centre Drive, Morgantown, WV 26501 | 2019-03-19 |
| 1194280446 | Braeden Chase Carroll | Specialist/Technologist | 636 Madison Ave, Morgantown, WV 26501 | 2019-01-31 |
| 1629541545 | Key Learning Autism Center Inc | Community/Behavioral Health | Mountaineer Mall, 5000 Greenbag Road Space A-1, Morgantown, WV 26501 | 2019-01-03 |
| 1922575463 | Heather Lynne Oneal | Midwife | 864 Vandalia Rd, Morgantown, WV 26501 | 2018-11-01 |
| 1609252634 | Nathan Robert Tomasik | Physical Therapist | 746 Fairmont Road, Westover, WV 26501 | 2015-07-31 |
| 1174922462 | Shelly Cummings | Nurse Practitioner | 5000 Greenbag Rd Ste E08, Morgantown, WV 26501 | 2014-08-22 |
| 1841609419 | Christine A Sutch | Family Medicine | 6040 University Town Center, Morgantown, WV 26501 | 2014-08-08 |
| 1073808432 | Megan B Darrah | Occupational Therapist | 6 Edwin Street, Morgantown, WV 26501 | 2011-06-14 |
| 1831325729 | Carol M. Kisner Mcgraw | Occupational Therapist | 26 Commerce Drive, Westover, WV 26501 | 2009-06-05 |
| Find all providers in zip 26501 | ||||
| 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 |
|---|---|---|---|---|
| 1992344568 | Mountain Valley LLC | Pharmacy | 827 Fairmont Rd Ste 104, Morgantown, WV 26501-3857 | 2019-12-31 |
| 1750722906 | Tingler Rx | Pharmacy | 889 Venture Drive, Suite 2, Morgantown, WV 26508 | 2013-07-16 |
| 1750425872 | Hackett and Hackett LLC | Pharmacy | 889 Venture Dr # 2, Morgantown, WV 26508-7307 | 2007-02-20 |
| 1932208261 | Thrift Drug Inc | Pharmacy | 3069 University Ave, Morgantown, WV 26505-3323 | 2006-09-22 |
| 1740297761 | Giant Eagle Inc | Pharmacy | 208 Giant St, Morgantown, WV 26501-2440 | 2006-08-02 |
| 1689689515 | Giant Eagle Inc | Pharmacy | 130 Greenbag Rd, Morgantown, WV 26501-7155 | 2006-07-29 |
| 1700833894 | Mcbee Inc. | Pharmacy | 162 High St, Morgantown, WV 26505-5413 | 2006-05-27 |
| 1780235242 | Scpg Kentucky LLC | Pharmacy | 211 South Main Street, Morgantown, KY 42261 | 2019-09-26 |
| 1649831744 | Rme Holdings LLC | Pharmacy | 889 Venture Dr, Morgantown, WV 26508-0056 | 2019-06-28 |
| 1962065086 | Monongalia County General Hospital Company | Pharmacy | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2019-04-15 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26501 |
Please comment or provide details below to improve the information on WATERFRONT FAMILY PHARMACY LLC.
| 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.