WEST VIRGINIA CVS PHARMACY LLC


Address: 72 Whitewater Ave, Fayetteville, WV 25840
Phone: 3044650511

WEST VIRGINIA CVS PHARMACY LLC (NPI# 1154424810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154424810
Entity Type Organization
Organization Name WEST VIRGINIA CVS PHARMACY LLC
Other Organization Name CVS PHARMACY 05946
Practice Address 72 Whitewater Ave
Fayetteville
WV 25840
Mailing Address 1 Cvs Dr
Po Box 1075
Woonsocket
RI 02895-6146
Practice Telephone 3044650511
Enumeration Date 2006-09-07
Last Update Date 2012-03-08
Authorized Official Name SUSAN COLBERT (DIRECTOR)
Authorized Official Telephone 4017651500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
N 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers
Y 333600000X Pharmacy 550950 WV Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
OTHER ID NUMBER-COMMERCIAL NUMBER 5008025 01

Other Provider/Organization Names

Other Name Type Code
CVS PHARMACY 05946 Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1164858148 West Virginia Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 1000 Pineview Dr, Morgantown, WV 26505-2754 2013-09-23
1265663207 West Virginia Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 4205 Maccorkle Ave Se, Charleston, WV 25304-2501 2009-08-06
1235364043 West Virginia Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 436 Retail Commons Pkwy, Martinsburg, WV 25403-6183 2009-05-22
1558532713 West Virginia Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 46 Middleway Pike, Inwood, WV 25428-3713 2008-03-17
1326121955 West Virginia Cvs Pharmacy LLC Pharmacy 300 Cabela Dr, Triadelphia, WV 26059-1023 2006-10-24
1316041098 West Virginia Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 45 S Mineral St, Keyser, WV 26726-3126 2006-09-12
1134223811 West Virginia Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 3901 Teays Valley Rd, Hurricane, WV 25526-9604 2006-09-12
1407950181 West Virginia Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 1200 Edwin Miller Blvd, Martinsburg, WV 25404-3702 2006-09-12
1225132905 West Virginia Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 328 West Washington St, Charles Town, WV 25414-1534 2006-09-12
1962505610 West Virginia Cvs Pharmacy LLC Pharmacy 121 10th St, Dunbar, WV 25064-3103 2006-09-07

Office Location

Street Address 72 WHITEWATER AVE
City FAYETTEVILLE
State WV
Zip Code 25840

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295341741 Lindsey Christine Judy Pharmacist 72 Whitewater Ave, Fayetteville, WV 25840-9648 2020-09-21
1366058018 Paul Sellers Pharmacist 72 Whitewater Ave, Fayetteville, WV 25840-9648 2020-09-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447766639 Nancy Carol Myles Technician 171 Wood Rd, Fayetteville, WV 25840 2017-12-26
1598933954 Kembra Anne Crist Registered Nurse 111 Fayette Avenue, Fayette County Boe, Fayetteville, WV 25840 2008-02-19
1003004854 Edward Lee Winter Psychologist 111 Fayette Ave., Fayette County Schools, Fayetteville, WV 25840 2007-10-05
1811109432 Anita Louise Swanson Physical Therapist 111 Fayette Ave, Fayetteville, WV 25840 2007-05-04
1003964008 Krista L Copenhaver-mackowiak Nurse Anesthetist, Certified Registered 613 Crooked Run Rd, Fayetteville, WV 25840 2007-01-08
1922171024 Carl Arthur Hansen Dentist 215 North Court St, Fayetteville, WV 25840 2006-11-16
1932202447 Appalachian Regional Healthcare Clinic/Center 436 Elizabeth Way, Fayetteville, WV 25840 2006-09-07
1447241310 Karen L. Pettry-hultman Family Medicine Rr 3 Box 9, Fayetteville, WV 25840 2005-10-31
1598125577 Jeanne Black Registered Nurse 111 Fayette Avenue, Fayette County Schools, Fayetteville, WV 25840 2016-03-03
1992165039 Lori Atkins Registered Nurse 111 Fayette Avenue, Fayette County Schools, Fayetteville, WV 25840 2016-03-02
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Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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: added definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548767619 Atlanta Id Group, P.C. Pharmacy 1265 Highway 54 West, Suite 500-c, Fayetteville, GA 30214 2018-04-06
1760924088 Clear Med Solutions LLC Pharmacy 1450 E Zion Rd Ste 3, Fayetteville, AR 72703-4988 2016-11-17
1386005148 New River Health Association, Inc Pharmacy 217 W Maple Ave, Fayetteville, WV 25840-1413 2016-03-08
1417336686 Valley Discount Pharmacy Incorporated Pharmacy 317 Owen Dr, Fayetteville, NC 28304-3429 2015-05-21
1780973693 Walmart Inc. Pharmacy 3475 Black Forest Dr, Fayetteville, AR 72704-6524 2011-03-31
1417182296 Cumberland County Hospital System Inc Pharmacy 101 Robeson St Ste 107, Fayetteville, NC 28301-5520 2009-05-21
1326183922 Carolina Family Pharmacy,inc Pharmacy 2800 Raeford Rd Ste 18, Suite 18, Fayetteville, NC 28303-5465 2007-02-21
1730248733 Carolina Family Pharmacy Inc Pharmacy 2800 18 Raeford Rd, Fayetteville, NC 28303 2006-12-06
1548328677 Carters At Stone Bridge LLC Pharmacy 6 Eldad Rd, Fayetteville, TN 37334-7005 2006-12-04
1568537140 Zimm Pharmacy Inc Pharmacy 239 N Court St, Fayetteville, WV 25840-1233 2006-11-21
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Competitor

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City FAYETTEVILLE
Zip Code 25840

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Dataset Information

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.

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