SHENANDOAH PHARMACY, LLC (NPI# 1659762466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659762466 |
| Entity Type | Organization |
| Organization Name | SHENANDOAH PHARMACY, LLC |
| Practice Address |
99 Tavern Rd Martinsburg WV 25401-2890 |
| Mailing Address |
Po Box 1146 Martinsburg WV 25402-1146 |
| Practice Telephone | 3042634999 |
| Mailing Telephone | 3042634999 |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2016-07-27 |
| Authorized Official Name | DAVID FANT (CEO) |
| Authorized Official Telephone | 3042634999 |
| Is Organization Subpart | Y |
| Parent Organization Name | SHENANDOAH VALLEY MEDICAL SYSTEM, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
| Street Address |
99 TAVERN RD |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25401-2890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617823 | Shenandoah Valley Medical System, Inc. | Clinic/Center | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2005-05-24 |
| 1699383414 | Kerry A Tucker | Nurse Practitioner | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2020-07-17 |
| 1134752785 | Scott Damon George | Social Worker | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2020-02-21 |
| 1942831748 | Victoria Ann Flynn | Social Worker | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2020-01-30 |
| 1770141202 | Sarah Dey | Advanced Practice Midwife | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2019-05-30 |
| 1730642737 | Tina Marie Malgarini Mawing | Nurse Practitioner | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2019-04-08 |
| 1518439934 | Sabrina Austin | Advanced Practice Midwife | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2018-12-24 |
| 1649765132 | Cara Beth Burker | Nurse Practitioner | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2018-06-27 |
| 1265933295 | April Marshall | Advanced Practice Midwife | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2018-02-26 |
| 1588164982 | Glenda Leanne Kay | Advanced Practice Midwife | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2018-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020537 | Christina Anne Williams | Nurse Practitioner | 2100 Hospital Drive, Martinsburg, WV 25401 | 2020-07-10 |
| 1013530633 | Pdi Health Wv LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 126 E. Burke Street, Martinsburg, WV 25401 | 2020-05-19 |
| 1699293035 | Tiffany Curry | Social Worker | 653 Winchester Avenue, Martinsburg, WV 25401 | 2017-09-06 |
| 1972042992 | Berkeley County Council | Counselor | 800 Emmett Rousch Drive, Martinsburg, WV 25401 | 2017-02-23 |
| 1023569449 | Heidi Crawford | Registered Nurse | 401 South College Street, Berkeley County Board of Ed, Martinsburg, WV 25401 | 2016-10-20 |
| 1578911293 | Christina Marie Van Hilst | Nurse Practitioner | 1001 Sushruta Dr, Martinsburg, WV 25401 | 2016-06-03 |
| 1578926549 | Barathy Radhakrishnan | Speech-Language Pathologist | 401 Queen Street, Berkeley County Board of Education, Martinsburg, WV 25401 | 2016-03-29 |
| 1972985638 | Wellco Dme LLC | Durable Medical Equipment & Medical Supplies | 107 Tavern Rd, Martinsburg, WV 25401 | 2015-06-18 |
| 1457731960 | Patrick Hamilton Noland | Dentist | 1003 Sushruta Dr., Martinsburg, WV 25401 | 2015-06-01 |
| 1801296330 | Terry Harden | Massage Therapist | 601 South Raliegh St., Martinsburg, WV 25401 | 2014-09-03 |
| Find all providers in zip 25401 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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 |
|---|---|---|---|---|
| 1356732192 | Wirt County Health Svc Assoc Inc | Pharmacy | 512 Church St S, Ripley, WV 25271-1616 | 2015-02-16 |
| 1609194505 | New River Health Association, Inc. | Pharmacy | 302 W. Main St, Sophia, WV 25921 | 2010-05-17 |
| 1487889010 | Community Health Systems Inc | Pharmacy | 131 Mellon St, Beckley, WV 25801 | 2009-05-27 |
| 1962698118 | Community Health Sytems, Inc | Pharmacy | 7127 Harper Rd, Glen Daniel, WV 25844 | 2007-09-21 |
| 1265592679 | Wv Rural Health Care Partnership | Pharmacy | State Route 79 Cabin Creek Road, Dawes, WV 25054-0070 | 2006-12-08 |
| 1912090135 | Wirt County Health Svc Assoc Inc | Pharmacy | 606 Washington St, Ravenswood, WV 26164-1730 | 2006-10-02 |
| 1386682540 | Community Health Systems Inc | Pharmacy | 252 Rural Acres Dr, Beckley, WV 25801-3503 | 2006-06-02 |
| 1679073779 | Boone Memorial Hospital, Inc | Pharmacy | 697 Madison Avenue, Suite B, Madison, WV 25130-2513 | 2018-02-15 |
| 1558796326 | Ebenezer Medical Outreach Inc | Pharmacy | 1448 10th Ave, Huntington, WV 25701-3581 | 2013-09-11 |
| 1881918837 | Man Rexcellence Program | Pharmacy | 600 E Mcdonald Ave, Man, WV 25635-1023 | 2010-03-19 |
| Find all providers with the same taxonomy | ||||
| City | MARTINSBURG |
| Zip Code | 25401 |
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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.