FIVE STAR PHARMACY (NPI# 1972146314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972146314 |
| Entity Type | Organization |
| Organization Name | FIVE STAR PHARMACY |
| Practice Address |
2795 Ritter Dr Shady Spring WV 25918-8515 |
| Practice Telephone | 3045731114 |
| Mailing Telephone | 3045731114 |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2019-10-17 |
| Authorized Official Name | LESLIE DIANE SISSON (CO-OWNER) |
| Authorized Official Telephone | 3045731114 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Shady Spring Pharmacy | Doing Business As Name - Organization |
| Street Address |
2795 RITTER DR |
| City | SHADY SPRING |
| State | WV |
| Zip Code | 25918-8515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366692782 | Leslie Diane Sisson | Pharmacist | 2795 Ritter Dr, Shady Spring, WV 25918 | 2008-09-22 |
| 1306483813 | Amy B Jamison | Pharmacist | 2795 Ritter Dr, Shady Spring, WV 25918-8515 | 2019-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548868474 | Shane Edward Bragg | Technician | 1520 Irish Mtn Rd, Shady Spring, WV 25918 | 2020-10-13 |
| 1295349587 | Charity Hope Meadows | Technician | 134 Third St, Shady Spring, WV 25918 | 2020-09-03 |
| 1831708080 | Jacqueline J Stewart | Technician | 128 Blue Jay Six Rd, Shady Spring, WV 25918 | 2020-07-23 |
| 1013162999 | Teresa Darlene Hunt | Durable Medical Equipment & Medical Supplies | 286 Pine St, Shady Spring, WV 25918 | 2008-11-19 |
| 1053409540 | Benjamin R Hiener | Dentist | 479 Flat Top Rd., Shady Spring, WV 25918 | 2006-10-10 |
| 1982765517 | C Jeff Clay, D.d.s. Inc. | Dentist | 479 Flat Top Rd, Shady Spring, WV 25918 | 2006-12-13 |
| 1215084785 | Linda Rae Williams | Nurse Anesthetist, Certified Registered | 127 Gilead St, Shady Spring, WV 25918-2004 | 2007-01-05 |
| 1053582361 | Randy Mcmillion | Pharmacist | 1529 Pluto Rd, Shady Spring, WV 25918-8028 | 2008-03-13 |
| 1750999769 | Cassandra N Farmer | Technician | 3814 Pluto Rd, Shady Spring, WV 25918-8055 | 2020-07-15 |
| 1639787997 | Melissa Gail Bragg | Technician | 1278 Irish Mountain Rd, Shady Spring, WV 25918-8171 | 2020-07-22 |
| Find all providers in zip 25918 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | SHADY SPRING |
| Zip Code | 25918 |
Please comment or provide details below to improve the information on FIVE STAR PHARMACY.
| 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.