HPC SPECIALTY RX WEST VIRGINIA INC (NPI# 1063879096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063879096 |
| Entity Type | Organization |
| Organization Name | HPC SPECIALTY RX WEST VIRGINIA INC |
| Other Organization Name | HPC SPECIALTY RX WEST VIRGINIA INC. |
| Practice Address |
118 Lafayette Ave Ste 200 Moundsville WV 26041-1029 |
| Mailing Address |
63 S Royal St Ste 800 Mobile AL 36602-3245 |
| Practice Telephone | 8007579192 |
| Practice Fax Number | 8558130583 |
| Mailing Telephone | 8007579192 |
| Mailing Fax Number | 8558130583 |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2020-06-10 |
| Authorized Official Name | NICKOLAS SHOEMAKER (CFO / OWNER) |
| Authorized Official Telephone | 8007579192 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers | ||
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
SP0552505 | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 1063879096 | 05 | |
| PK | 2157693 | 01 |
| Other Name | Type Code |
|---|---|
| HPC Specialty Rx West Virginia Inc. | Doing Business As Name - Organization |
| Street Address |
118 LAFAYETTE AVE STE 200 |
| City | MOUNDSVILLE |
| State | WV |
| Zip Code | 26041-1029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093272577 | Tonya Sue Roush | Technician | 2056 Center Street, Moundsville, WV 26041 | 2019-02-21 |
| 1720568264 | Christina Robinson | Registered Nurse | Washington Lands Elementary, 116 School Rd., Moundsville, WV 26041 | 2018-08-15 |
| 1962935296 | Tracy A. Zang | Dentist | 112 Correctional Dr., Northern Regional Correctional Facility, Moundsville, WV 26041 | 2017-04-04 |
| 1154861052 | Andrea Garrison | Specialist/Technologist | 633 Blairs Ridge Rd, Moundsville, WV 26041 | 2017-02-27 |
| 1932643418 | First Settlement Physical Therapy | Physical Therapist | 1216 Lafayette Ave, Moundsville, WV 26041 | 2016-12-19 |
| 1245772177 | The Village Network | Community/Behavioral Health | 52 Fourteenth Street, Wheeling, WV 26041 | 2016-11-09 |
| 1144516683 | Sarah D Dean | Counselor | 324 7th and Lafayette Street, Moundsville, WV 26041 | 2011-06-23 |
| 1114101540 | Becky Poling | Speech-Language Pathologist | 2700 Eastern Fourth Street, Moundsville, WV 26041 | 2007-12-20 |
| 1871775213 | Cathy Jones | Registered Nurse | 2700 Fourth Street, Marshall County Board of Education, Moundsville, WV 26041 | 2007-11-28 |
| 1326262536 | Marshall County Health Department | Public Health or Welfare | 6th Street & Court Avenue, Moundsville, WV 26041 | 2007-04-12 |
| Find all providers in zip 26041 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| 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 |
|---|---|---|---|---|
| 1912424623 | Soleo Health Inc | Pharmacy | 204 Three Springs Dr Ste B, Weirton, WV 26062 | 2017-08-23 |
| 1811380728 | Community Health Systems Inc | Pharmacy | One Physician's Drive, Lochgelly, WV 25866 | 2015-03-17 |
| 1609215979 | Bioscrip Infusion Services, LLC | Pharmacy | 4401 Maccorkle Ave Se, Suite A, Charleston, WV 25304-2505 | 2013-06-20 |
| 1992174544 | Community Health Systems Inc | Pharmacy | 131 Mellon St, Beckley, WV 25801-3535 | 2015-09-24 |
| 1699168492 | Community Health Systems Inc | Pharmacy | 200 Raleigh Ave, Beckley, WV 25801-0002 | 2015-03-18 |
| 1184017097 | Community Health Systems Inc | Pharmacy | 7127 Harper Road, Glen Daniel, WV 25844 | 2015-03-17 |
| City | MOUNDSVILLE |
| Zip Code | 26041 |
Please comment or provide details below to improve the information on HPC SPECIALTY RX WEST VIRGINIA INC.
| 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.