JSB ENTERPRISES INC (NPI# 1952312506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952312506 |
| Entity Type | Organization |
| Organization Name | JSB ENTERPRISES INC |
| Other Organization Name | SOUTH BERKELEY PHARMACY |
| Practice Address |
5054 Gerrardstown Road Inwood WV 25428 |
| Mailing Address |
Po Box 1903 Inwood WV 25428-1903 |
| Practice Telephone | 3042292400 |
| Practice Fax Number | 3042292906 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2011-03-03 |
| Authorized Official Name | J SCOTT BOYD (PRESIDENT) |
| Authorized Official Telephone | 3042293879 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
SP0552336 | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 5054301 | 01 | |
| WV | 6271410001 | 05 |
| Other Name | Type Code |
|---|---|
| SOUTH BERKELEY PHARMACY | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | JSB Enterprises Inc. | 34-a Redmond Drive, Fletcher, NC 28732-9306 |
| New York State Corporations | JSB ENTERPRISES INC. | 525 Broadway, 6th Floor, New York, Ny 10012 |
| Street Address |
5054 GERRARDSTOWN ROAD |
| City | INWOOD |
| State | WV |
| Zip Code | 25428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972810034 | Kenneth Ray Trenary II | Pharmacist | 5054 Gerrardstown Road, Inwood, WV 25428 | 2010-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881893550 | Shenandoah Valley Family Health Center | Family Medicine | 102 Hovater Drive, Inwood, WV 25428 | 2007-07-13 |
| 1033258314 | Catherine Marie Silver-riddell | Chiropractor | 7875 Winchester Ave, Inwood, WV 25428 | 2007-02-05 |
| 1174600696 | Pattersons Drug Store | Pharmacist | 115 Hovatter Dr, Inwood, WV 25428 | 2006-11-01 |
| 1801203856 | Matthew Miller | Dentist | 372 Middleway Pike Ste A, Inwood, WV 25428 | 2014-07-22 |
| 1750702072 | Danielle Redman | Registered Nurse | 5047 Gerrardstown Rd, Suite 2a, Inwood, WV 25428 | 2014-01-06 |
| 1083897144 | Kenneth L Banks | Dentist | 4325 Gerrardstown Road, Inwood, WV 25428-0722 | 2007-12-12 |
| 1205449659 | Jhon Alzamora | Technician | 40 Montague Way, Inwood, WV 25428-1254 | 2020-08-26 |
| 1104469899 | Nicole Wennerberg | Nurse Practitioner | 123 Hovatter Dr, Inwood, WV 25428-1298 | 2019-10-24 |
| 1295359941 | Met-r Integrated Health, Inc. | Clinic/Center | 123 Hovatter Dr, Inwood, WV 25428-1298 | 2020-05-28 |
| 1518058049 | Panhandle Medicine of Inwood, Pllc | Nurse Practitioner | 365 Middleway Pike, Inwood, WV 25428-1845 | 2006-09-28 |
| Find all providers in zip 25428 | ||||
| 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 |
|---|---|---|---|---|
| 1508964248 | Inwood Pharmacy & Surgical Supply Inc. | Pharmacy | 115 Doughty Blvd, Inwood, NY 11096-2003 | 2006-09-20 |
| 1205930062 | Cvs Albany LLC | Pharmacy | 530 Burnside Ave, Inwood, NY 11096-1237 | 2006-09-12 |
| 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.