WILLOW DRUG INCORPORATED (NPI# 1962788364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962788364 |
| Entity Type | Organization |
| Organization Name | WILLOW DRUG INCORPORATED |
| Other Organization Name | WILLOW DRUG |
| Practice Address |
41 Williams Dr Spencer WV 25276-1825 |
| Practice Telephone | 3049273784 |
| Practice Fax Number | 3049270333 |
| Mailing Telephone | 3049273784 |
| Mailing Fax Number | 3049270333 |
| Enumeration Date | 2011-10-29 |
| Last Update Date | 2011-12-28 |
| Authorized Official Name | KENLY CORKREAN (VICE PRESIDENT/OWNER) |
| Authorized Official Telephone | 3049273784 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
SP0552428 | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 5055606 | 01 |
| Other Name | Type Code |
|---|---|
| Willow Drug | Doing Business As Name - Organization |
| Street Address |
41 WILLIAMS DR |
| City | SPENCER |
| State | WV |
| Zip Code | 25276-1825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952551285 | Kenly Waine Corkrean | Pharmacist | 41 Williams Dr, Spencer, WV 25276-1825 | 2008-09-23 |
| 1164904785 | Mary Catherine Butcher | Pharmacist | 41 Williams Dr, Spencer, WV 25276-1825 | 2018-08-30 |
| 1326594862 | Dana Washburn | Pharmacist | 41 Williams Dr, Spencer, WV 25276-1825 | 2016-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972019453 | Patricia Ann May | Technician | 3353 Lick Fork Road, Spencer, WV 25276 | 2017-12-20 |
| 1053518399 | Kelly Jean Fry | Naturopath | 142 East Main St., Spencer, WV 25276 | 2007-06-29 |
| 1194877019 | Edward L. Moore | Dentist | 533 Ripley Road, Spencer, WV 25276 | 2007-01-18 |
| 1912068180 | Life Guard Inc. | Durable Medical Equipment & Medical Supplies | 101 Locust Ave., Spencer, WV 25276 | 2006-12-12 |
| 1063509263 | Hospital Development Co. | Medicare Defined Swing Bed Unit | 200 Hospital Drive, Spencer, WV 25276 | 2006-10-07 |
| 1508826462 | Precilla T Famularcano | Family Medicine | 141 Main Street, Spencer, WV 25276 | 2006-03-24 |
| 1669822011 | Julie M Morgan | Physician Assistant | 146 Williams Dr, Spencer, WV 25276 | 2016-06-16 |
| 1326331018 | David Elias Mick | Pharmacist | 218 Market St, Spencer, WV 25276 | 2011-05-27 |
| 1831228733 | Christopher Kyle Mealey | Pharmacist | 200 Hospital Drive, Spencer, WV 25276 | 2007-03-05 |
| 1093860256 | Roane County Emergency Squad, Inc. | Ambulance | 200 East Main Street, Spencer, WV 25276 | 2007-01-25 |
| Find all providers in zip 25276 | ||||
| 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] |
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| 1992725816 | Nagengast Pharmacies, Inc | Pharmacy | 211 Thayer St, Spencer, NE 68777 | 2006-07-21 |
| 1568782266 | Spencer Drug Co,, LLC | Pharmacy | 120 College St, Spencer, TN 38585-3214 | 2010-06-03 |
| 1699875039 | Cvs Pharmacy Inc | Pharmacy | 131 Main St, Spencer, MA 01562 | 2006-09-25 |
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| 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.