WEST VIRGINIA HEALTH CARE COOPERATIVE INC (NPI# 1407314313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407314313 |
| Entity Type | Organization |
| Organization Name | WEST VIRGINIA HEALTH CARE COOPERATIVE INC |
| Other Organization Name | SRMC PHARMACY |
| Practice Address |
400 Fairview Heights Rd Summersville WV 26651-9308 |
| Practice Telephone | 3048728402 |
| Mailing Telephone | 3048728402 |
| Enumeration Date | 2019-03-10 |
| Last Update Date | 2019-04-03 |
| Authorized Official Name | KAREN BOWLING (PRESIDENT/CWO) |
| Authorized Official Telephone | 3048728402 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| SRMC Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417415324 | West Virginia Health Care Cooperative Inc | Urology | 400 Fairview Heights Rd, Summersville, WV 26651-9308 | 2019-03-10 |
| 1194283192 | West Virginia Health Care Cooperative Inc | Skilled Nursing Facility | 400 Fairview Heights Rd, Summersville, WV 26651-9308 | 2019-03-08 |
| 1548728553 | West Virginia Health Care Cooperative Inc | Clinic/Center | 400 Fairview Heights Rd, Summersville, WV 26651-9308 | 2019-03-08 |
| 1043778319 | West Virginia Health Care Cooperative Inc | Clinical Medical Laboratory | 400 Fairview Heights Rd, Summersville, WV 26651-9308 | 2019-03-06 |
| Street Address |
400 FAIRVIEW HEIGHTS RD |
| City | SUMMERSVILLE |
| State | WV |
| Zip Code | 26651-9308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760481014 | Jonathan B Dale | Emergency Medicine | 400 Fairview Heights Rd, Summersville, WV 26651-9308 | 2005-07-19 |
| 1154929388 | Rachel Davis | Pharmacist | 400 Fairview Heights Rd, Summersville, WV 26651-9308 | 2020-10-10 |
| 1326655838 | Georgiana Lane Jarvis | Pharmacist | 400 Fairview Heights Rd, Summersville, WV 26651 | 2020-09-29 |
| 1417415324 | West Virginia Health Care Cooperative Inc | Urology | 400 Fairview Heights Rd, Summersville, WV 26651-9308 | 2019-03-10 |
| 1194283192 | West Virginia Health Care Cooperative Inc | Skilled Nursing Facility | 400 Fairview Heights Rd, Summersville, WV 26651-9308 | 2019-03-08 |
| 1548728553 | West Virginia Health Care Cooperative Inc | Clinic/Center | 400 Fairview Heights Rd, Summersville, WV 26651-9308 | 2019-03-08 |
| 1043778319 | West Virginia Health Care Cooperative Inc | Clinical Medical Laboratory | 400 Fairview Heights Rd, Summersville, WV 26651-9308 | 2019-03-06 |
| 1336692441 | Amy Mann | Nurse Practitioner | 400 Fairview Heights Rd, Summersville, WV 26651-9308 | 2016-07-26 |
| 1124470778 | Nicholas Emergency Group, Pllc | Physician Assistant | 400 Fairview Heights Rd, Summersville, WV 26651-9308 | 2016-07-07 |
| 1972968642 | Summersville Regional Medical Center | Specialist | 400 Fairview Heights Rd, Summersville, WV 26651-9308 | 2015-12-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061588 | Marcy Nicole Myerholtz | Pharmacist | 700 Northside Drive, Cvs Pharmacy, Summersville, WV 26651 | 2020-10-21 |
| 1104425396 | Travis Giles | Physical Therapy Assistant | 2129 Canvas Nettie Rd, Summersville, WV 26651 | 2020-10-20 |
| 1043837586 | Clorinda L Workman | Registered Nurse | 221 Bright of America Road, Summersville, WV 26651 | 2020-07-01 |
| 1669947222 | Camden On Gauley Medical Center, Inc. | Clinic/Center | 70 Grade School Lane, Summersville, WV 26651 | 2018-10-10 |
| 1902310451 | Carolyn Maxwell Evans | Technician | 554 Ritchie Farm Road, Summersville, WV 26651 | 2017-11-20 |
| 1568904829 | Nicholas Community Action Partnership, Inc | Case Management | 1205 Broad Street, Summersville, WV 26651 | 2016-11-17 |
| 1831645647 | Rachel Hendricks | Psychologist | 400 Old Main Drive, Nicholas County Schools, Summersville, WV 26651 | 2016-08-31 |
| 1831592542 | Vass Vocational Services, In. | Case Manager/Care Coordinator | 304 Bibb Lane, Summersville, WV 26651 | 2014-10-08 |
| 1417229329 | Professional Medical Ultrasonics Inc. | Clinic/Center | 4089 Webster Rd Suite 5, Summersville, WV 26651 | 2012-02-08 |
| 1437426459 | All Med, LLC | Durable Medical Equipment & Medical Supplies | 602 Appalachian Dr., Summersville, WV 26651 | 2011-11-18 |
| Find all providers in zip 26651 | ||||
| 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 |
|---|---|---|---|---|
| 1477150241 | Tyler Alan Bailey | Pharmacy | 700 Professional Park Dr, Summersville, WV 26651-2000 | 2020-10-05 |
| 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 |
| 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 |
| 1326699703 | Mountaineer Drug Inc. | Pharmacy | 9709 Maccorkle Ave Se, Ste A, Marmet, WV 25315 | 2019-09-26 |
| Find all providers with the same taxonomy | ||||
| City | SUMMERSVILLE |
| Zip Code | 26651 |
Please comment or provide details below to improve the information on WEST VIRGINIA HEALTH CARE COOPERATIVE 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.