MRS. SHELLY GAIL HODGES (NPI# 1174734792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174734792 |
| Entity Type | Individual |
| Full Name | MRS. SHELLY GAIL HODGES |
| Practice Address |
106 21st St Nitro WV 25143-1740 |
| Mailing Address |
18 Windsong Way Nitro WV 25143-1138 |
| Practice Telephone | 3047550128 |
| Practice Fax Number | 3042042223 |
| Mailing Telephone | 3047765329 |
| Mailing Fax Number | 3042042223 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5122 | WV | Pharmacy Service Providers |
| Street Address |
106 21ST ST |
| City | NITRO |
| State | WV |
| Zip Code | 25143-1740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696974 | Hunter Gavin Highlander | Pharmacist | 106 21st St, Nitro, WV 25143-1740 | 2020-07-14 |
| 1285189050 | Nicholas Dominick | Pharmacist | 106 21st St, Nitro, WV 25143-1740 | 2016-08-22 |
| 1104272640 | Betsy Warner | Pharmacy Technician | 106 21st St, Nitro, WV 25143-1740 | 2016-05-13 |
| 1033565767 | Bethany Gibson | Pharmacy Technician | 106 21st St, Nitro, WV 25143-1740 | 2016-05-12 |
| 1487000147 | Bre Ann Lasseter | Pharmacy Technician | 106 21st St, Nitro, WV 25143-1740 | 2016-05-11 |
| 1285003343 | Fruth Pharamcy Inc | Pharmacy | 106 21st St, Nitro, WV 25143-1740 | 2015-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639537 | Regina Alford | Technician | 640 Cross Lanes Dr. Apt #6, Nitro, WV 25143 | 2020-11-03 |
| 1831677061 | Amy Bateman | Pharmacist | Fruth Pharmacy Patient Care Center, 106 21st Street, Nitro, WV 25143 | 2018-07-31 |
| 1033617543 | Anne Dean | Technician | 3306 3rd St, Nitro, WV 25143 | 2018-01-30 |
| 1720506363 | Philip Neil Kennedy II | Pharmacist | 106 21st Street, Nitro, WV 25143 | 2017-09-05 |
| 1326373705 | Laurie Jewel Elkins | Nurse Anesthetist, Certified Registered | 905 Washington Avenue, Nitro, WV 25143 | 2009-10-02 |
| 1588826515 | Rachel Heilmann | Pharmacist | 113 Norwood Drive, Nitro, WV 25143 | 2008-07-01 |
| 1326140922 | Terry Lee Mcwatters | Dentist | 2201 22nd Street, Nitro, WV 25143 | 2006-09-02 |
| 1942256821 | Modern Medicine Inc | Durable Medical Equipment & Medical Supplies | 4114 1st Ave, Nitro, WV 25143 | 2006-05-25 |
| 1962455261 | Eye Doc Inc | Optometrist | 100 Nitro Marketplace, Nitro, WV 25143 | 2006-05-18 |
| 1639665912 | Damous Center | Clinic/Center | 234 Lee Ave, Nitro, WV 25143 | 2018-07-10 |
| Find all providers in zip 25143 | ||||
| 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 |
|---|---|---|---|---|
| 1831677061 | Amy Bateman | Pharmacist | Fruth Pharmacy Patient Care Center, 106 21st Street, Nitro, WV 25143 | 2018-07-31 |
| 1720506363 | Philip Neil Kennedy II | Pharmacist | 106 21st Street, Nitro, WV 25143 | 2017-09-05 |
| 1285933440 | James Kenneth King | Pharmacist | 100 21st St, Nitro, WV 25143-1740 | 2011-03-26 |
| 1588826515 | Rachel Heilmann | Pharmacist | 113 Norwood Drive, Nitro, WV 25143 | 2008-07-01 |
| 1720696974 | Hunter Gavin Highlander | Pharmacist | 106 21st St, Nitro, WV 25143-1740 | 2020-07-14 |
| 1285189050 | Nicholas Dominick | Pharmacist | 106 21st St, Nitro, WV 25143-1740 | 2016-08-22 |
| 1386935252 | Tina Michelle Dailey | Pharmacist | 100 21st St, Nitro, WV 25143-1740 | 2011-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194325894 | Amy Elizabeth Taylor | Pharmacist | 369 Scotts Fork Bonnie Road, Sutton, WV 26601 | 2020-10-30 |
| 1629678438 | David B Smith | Pharmacist | 369 Scotts Fork-bonnie Road, Sutton, WV 26601 | 2020-10-30 |
| 1952901605 | George Paul Munas IIi | Pharmacist | 5605 University Town Centre Dr # 3215, Morgantown, WV 26501-2473 | 2020-10-30 |
| 1104426568 | John Louis Putorek | Pharmacist | 176 Blueridge Ave, Princeton, WV 24740-4226 | 2020-10-27 |
| 1700486156 | Dylan Tomblin | Pharmacist | 100 Buckhannon Xrds, Buckhannon, WV 26201-8422 | 2020-10-27 |
| 1134729643 | Cassie Lynch | Pharmacist | 148 Walmart Dr, Keyser, WV 26726-1805 | 2020-10-26 |
| 1417557992 | Gregory Spencer Glover | Pharmacist | 1976 Jefferson St N, Lewisburg, WV 24901-2209 | 2020-10-26 |
| 1568061588 | Marcy Nicole Myerholtz | Pharmacist | 700 Northside Drive, Cvs Pharmacy, Summersville, WV 26651 | 2020-10-21 |
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1518565845 | Anne Jiang | Pharmacist | 7000 Mid Atlantic Dr., Morgantown, WV 26508 | 2020-10-09 |
| 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.