BENJAMIN BREDHOLD (NPI# 1952883001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952883001 |
| Entity Type | Individual |
| Full Name | BENJAMIN BREDHOLD |
| Credential | PHARMD |
| Practice Address |
1 Medical Center Drive Dept of Pharmaceutical Services Morgantown WV 26505 |
| Mailing Address |
1 Medical Center Drive Dept of Pharmaceutical Services (box 8045) Morgantown WV 26505 |
| Practice Telephone | 3045984148 |
| Practice Fax Number | 3045984073 |
| Mailing Telephone | 3045984148 |
| Mailing Fax Number | 3045984073 |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 26026568A | IN | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 40577 | TN | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | RP0010559 | WV | Pharmacy Service Providers |
| Street Address |
1 MEDICAL CENTER DRIVE DEPT OF PHARMACEUTICAL SERVICES |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593835 | Eric Kinney | Pharmacist | 1 Medical Center Drive, Dept of Pharmaceutical Services, Morgantown, WV 26506 | 2020-09-23 |
| 1740899186 | Calvin Austin Parmiter | Pharmacist | 1 Medical Center Drive, Dept of Pharmacy Services, Morgantown, WV 26506 | 2020-07-30 |
| 1336776939 | Sundus Ahmed | Student in an Organized Health Care Education/Training Program | 1 Medical Center Drive, Morgantown, WV 26506-1200 | 2020-03-24 |
| 1407406523 | Amy Pham | Pharmacist | 1 Medical Center Drive, Dept of Pharmaceutical Services, Morgantown, WV 26506-1200 | 2019-09-19 |
| 1083176440 | Nicole Pozun | Nurse Practitioner | 1 Medical Center Drive, Morgantown, WV 26505-6010 | 2019-04-04 |
| 1215496112 | Britney Harris | Student in an Organized Health Care Education/Training Program | 1 Medical Center Drive, Surgery Room 4601, Morgantown, WV 26506 | 2019-03-19 |
| 1790256220 | Jessica Kim | Pharmacist | 1 Medical Center Drive, Department of Pharmaceutical Services, Morgantown, WV 26506 | 2018-12-10 |
| 1558841437 | Aaron Cumpston | Pharmacist | 1 Medical Center Drive, Department of Pharmaceutical Servies, Morgantown, WV 26506 | 2018-08-20 |
| 1508346594 | Kala Ruth Rorabaugh | Pharmacist | 1 Medical Center Drive, Dept of Pharmaceutical Services (8045), Morgantown, WV 26506 | 2018-08-19 |
| 1558867184 | Patrick Luchini | Student in an Organized Health Care Education/Training Program | 1 Medical Center Drive, Morgantown, WV 26505 | 2018-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
| 1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
| 1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
| 1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
| 1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
| 1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
| 1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
| 1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
| 1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
| Find all providers in zip 26505 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952901605 | George Paul Munas IIi | Pharmacist | 5605 University Town Centre Dr # 3215, Morgantown, WV 26501-2473 | 2020-10-30 |
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1518565845 | Anne Jiang | Pharmacist | 7000 Mid Atlantic Dr., Morgantown, WV 26508 | 2020-10-09 |
| 1225681893 | Ronald Selders II | Pharmacist | 178 Mccormick Hollow Rd, Morgantown, WV 26508-9486 | 2019-07-22 |
| 1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
| 1437605227 | Kendall Kori Rouleau | Pharmacist | 5001 University Towne Center Dr, Morgantown, WV 26501-2267 | 2016-08-31 |
| 1548626914 | Hilary Hicks | Pharmacist | 500 Suncrest Centre, Morgantown, WV 26505 | 2016-01-14 |
| 1104201847 | Brian William Bedwick | Pharmacist | 215 Don Knotts Blvd Ste 120, Morgantown, WV 26501-6734 | 2015-07-23 |
| 1194113720 | Hank S Washer | Pharmacist | 205 West Gl Smith Street, Morgantown, KY 42261 | 2015-01-06 |
| 1902200165 | Kathy Hibbs | Pharmacist | 889 Venture Dr Ste 2, Morgantown, WV 26508-7311 | 2014-10-17 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26505 |
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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.