PATTERSONS DRUG STORE (NPI# 1174600696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174600696 |
| Entity Type | Organization |
| Organization Name | PATTERSONS DRUG STORE |
| Practice Address |
115 Hovatter Dr Inwood WV 25428 |
| Mailing Address |
Po Box 339 Inwood WV 25428 |
| Practice Telephone | 3042292929 |
| Practice Fax Number | 3042290618 |
| Mailing Telephone | 3042292929 |
| Mailing Fax Number | 3042290618 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GEORGE KAROS (OWNER) |
| Authorized Official Telephone | 3042292929 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | MP0550937 | WV | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0143968000 | 05 | |
| NABP | 5007934 | 01 |
| Street Address |
115 HOVATTER DR |
| City | INWOOD |
| State | WV |
| Zip Code | 25428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881893550 | Shenandoah Valley Family Health Center | Family Medicine | 102 Hovater Drive, Inwood, WV 25428 | 2007-07-13 |
| 1033258314 | Catherine Marie Silver-riddell | Chiropractor | 7875 Winchester Ave, Inwood, WV 25428 | 2007-02-05 |
| 1952312506 | Jsb Enterprises Inc | Durable Medical Equipment & Medical Supplies | 5054 Gerrardstown Road, Inwood, WV 25428 | 2006-08-10 |
| 1801203856 | Matthew Miller | Dentist | 372 Middleway Pike Ste A, Inwood, WV 25428 | 2014-07-22 |
| 1750702072 | Danielle Redman | Registered Nurse | 5047 Gerrardstown Rd, Suite 2a, Inwood, WV 25428 | 2014-01-06 |
| 1972810034 | Kenneth Ray Trenary II | Pharmacist | 5054 Gerrardstown Road, Inwood, WV 25428 | 2010-09-09 |
| 1083897144 | Kenneth L Banks | Dentist | 4325 Gerrardstown Road, Inwood, WV 25428-0722 | 2007-12-12 |
| 1205449659 | Jhon Alzamora | Technician | 40 Montague Way, Inwood, WV 25428-1254 | 2020-08-26 |
| 1104469899 | Nicole Wennerberg | Nurse Practitioner | 123 Hovatter Dr, Inwood, WV 25428-1298 | 2019-10-24 |
| 1295359941 | Met-r Integrated Health, Inc. | Clinic/Center | 123 Hovatter Dr, Inwood, WV 25428-1298 | 2020-05-28 |
| Find all providers in zip 25428 | ||||
| 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 |
|---|---|---|---|---|
| 1205236205 | Samantha Jones | Pharmacist | 79 Harrison Dr, Inwood, WV 25428-3843 | 2014-08-26 |
| 1619100781 | Heidi N Haines | Pharmacist | 7916 Winchester Ave, Inwood, WV 25428-4066 | 2009-08-24 |
| 1639356579 | Daniel Tagliavia | Pharmacist | 591 Burnside Ave, Inwood, NY 11096-1300 | 2008-01-23 |
| 1578177143 | Somtochukwu C Orakwue | Pharmacist | 46 Middleway Pike, Inwood, WV 25428-3713 | 2020-09-01 |
| 1578177291 | Tina Bowers | Pharmacist | 46 Middleway Pike, Inwood, WV 25428-3713 | 2020-08-31 |
| 1033527056 | Jeanna Shim | Pharmacist | 447 Doughty Blvd, Inwood, NY 11096-1345 | 2014-07-23 |
| 1679993638 | Matthew Jacob | Pharmacist | 447 Doughty Blvd, Inwood, NY 11096-1345 | 2014-04-17 |
| 1942622543 | Lois Tsui | Pharmacist | 447 Doughty Blvd, Inwood, NY 11096-1345 | 2014-01-16 |
| 1699106559 | Jennifer Yoo | Pharmacist | 447 Doughty Blvd, Inwood, NY 11096-1345 | 2013-12-03 |
| 1639420185 | Charlene Dwarika | Pharmacist | 591 Burnside Ave, Inwood, NY 11096-1300 | 2012-09-24 |
| Find all providers in INWOOD | ||||
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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.