WESTSIDE PHARMACY INC (NPI# 1215988670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215988670 |
| Entity Type | Organization |
| Organization Name | WESTSIDE PHARMACY INC |
| Other Organization Name | WESTSIDE PHARMACY |
| Practice Address |
Rt 10 Cook Pkwy and Logan St Oceana WV 24870 |
| Mailing Address |
Po Box 69 Oceana WV 24870-0069 |
| Practice Telephone | 3046820444 |
| Practice Fax Number | 3046820447 |
| Mailing Telephone | 3046820444 |
| Mailing Fax Number | 3046820447 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2016-04-04 |
| Authorized Official Name | DEVONNA MILLER WEST (PRESIDENT) |
| Authorized Official Telephone | 3046820444 |
| Authorized Official Credential | DRPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
SP0552334 | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2111580 | 01 | |
| WV | 3810005541 | 05 |
| Other Name | Type Code |
|---|---|
| WESTSIDE PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710304043 | Westside Pharmacy Inc | Pharmacy | 359 Sw Century Dr, Bend, OR 97702-1054 | 2014-03-25 |
| 1013982446 | Westside Pharmacy Inc | Pharmacy | 970 W Wooster St, Suite #121, Bowling Green, OH 43402-2643 | 2006-02-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WESTSIDE PHARMACY INC | 359 Sw Century Dr, Bend, OR 97702 |
| Street Address |
RT 10 COOK PKWY AND LOGAN ST |
| City | OCEANA |
| State | WV |
| Zip Code | 24870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192971 | Amber Mae Blankenship | Technician | 7 Shorts Ct, Oceana, WV 24870 | 2020-10-20 |
| 1558968446 | Misty Dawn Coleman | Technician | 517 Kopperston Rd., Oceana, WV 24870 | 2020-10-05 |
| 1659984722 | Jennifer Goff | Technician | 463 Kopperston Rd, Oceana, WV 24870 | 2020-08-28 |
| 1154977023 | Renegade Pharmacy Inc. | Pharmacy | Rt 10 Cook Parkway/18 Logan Street, Oceana, WV 24870 | 2019-08-15 |
| 1376022178 | Justin D Walker | Pharmacist | 928b Cook Parkway, Oceana, WV 24870 | 2018-08-13 |
| 1891211702 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 894 Cook Pkwy, Oceana, WV 24870 | 2017-08-22 |
| 1538504345 | Foot and Ankle Clinic of The Virginias Inc | Podiatrist | 1 Cook Parkway, Oceana, WV 24870 | 2013-05-07 |
| 1740589167 | Petra Emelina Brown | Pharmacist | 894 Cook Parkway, Rite Aid Pharmacy, Oceana, WV 24870 | 2011-03-24 |
| 1952508178 | Professional Sleep Lab, Inc. | Clinical Medical Laboratory | Route 10 Cookparkway, Oceana, WV 24870 | 2007-06-29 |
| 1801944830 | Jennifer Frye | Speech-Language Pathologist | Rt 10 Cook Parkway & Corner Harding, Oceana, WV 24870 | 2007-01-08 |
| Find all providers in zip 24870 | ||||
| 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 |
|---|---|---|---|---|
| 1154977023 | Renegade Pharmacy Inc. | Pharmacy | Rt 10 Cook Parkway/18 Logan Street, Oceana, WV 24870 | 2019-08-15 |
| 1093893240 | United Pharmacy Group Inc | Pharmacy | 928 Cook Parkway, Oceana, WV 24870-1800 | 2006-11-02 |
| 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 | ||||
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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.