NEW RIVER HEALTH ASSOCIATION, INC. (NPI# 1609194505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609194505 |
| Entity Type | Organization |
| Organization Name | NEW RIVER HEALTH ASSOCIATION, INC. |
| Other Organization Name | GULF FAMILY PRACTICE PHARMACY |
| Practice Address |
302 W. Main St Sophia WV 25921 |
| Mailing Address |
302 W. Main St Po Box 1293 Sophia WV 25921 |
| Practice Telephone | 3046833809 |
| Practice Fax Number | 3046835761 |
| Mailing Telephone | 3046833809 |
| Mailing Fax Number | 3046835761 |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2017-02-16 |
| Authorized Official Name | JOHN R. SCHUTZ (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3044692905 |
| Is Organization Subpart | Y |
| Parent Organization Name | NEW RIVER HEALTH ASSOCIATION, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
SO0552404 | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | BOARD OF PHARMACY | SP0552404 | 01 |
| WV | 3810020558 | 05 |
| Other Name | Type Code |
|---|---|
| Gulf Family Practice Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689220402 | New River Health Association, Inc. | Clinic/Center | 2 Greyhound Ln., Smithers, WV 25186 | 2019-08-16 |
| 1457846362 | New River Health Association, Inc. | Clinic/Center | 320 W Oyler Ave, Oak Hill, WV 25901-2174 | 2018-06-25 |
| 1003301912 | New River Health Association, Inc. | Clinic/Center | 515 W Maple Ave, Fayetteville, WV 25840-1419 | 2018-06-25 |
| 1952332496 | New River Health Association, Inc. | Clinic/Center | 204 S Mountain Ave, Mount Hope, WV 25880-1129 | 2006-07-05 |
| 1982233235 | New River Health Association, Inc. | Pharmacy | 2 Greyhound Ln., Smithers, WV 25186 | 2020-04-07 |
| 1518596865 | New River Health Association, Inc. | Pharmacy | 2 Greyhound Ln., Smithers, WV 25186 | 2020-04-07 |
| 1407394646 | New River Health Association, Inc. | Clinic/Center | 400 Fairview Heights Road, Suite 201, Summerville, WV 26651 | 2017-02-08 |
| 1841619467 | New River Health Association, Inc. | Clinic/Center | 908 Scarbro Road, Suite A, Scarbro, WV 25917 | 2014-04-10 |
| 1225272214 | New River Health Association, Inc. | Clinic/Center | 1614 S Kanawha St, Beckley, WV 25801-6239 | 2009-04-22 |
| Street Address |
302 W. MAIN ST |
| City | SOPHIA |
| State | WV |
| Zip Code | 25921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152510 | Cortney Louise Lacy | Technician | 234 East Railroad Ave, Sophia, WV 25921 | 2020-10-20 |
| 1952909889 | April Chapman | Technician | 141 Leona Dr, Sophia, WV 25921 | 2020-10-13 |
| 1205445400 | Alesia Marie Basham | Technician | 216 Blue Room Rd, Sophia, WV 25921 | 2020-07-24 |
| 1104435304 | Shannon T. Linville | Technician | 304 W. Railroad Ave., Apt.2, Sophia, WV 25921 | 2020-07-24 |
| 1073077194 | James Kincaid | Pharmacist | 837 Robert C. Byrd Drive, Sophia, WV 25921 | 2019-01-23 |
| 1912472069 | Lester Square Pharmacy | Pharmacy | 837 Robert C Byrd Dr, Sophia, WV 25921 | 2018-10-04 |
| 1558590166 | A Place To Heal Inc | Physical Therapist | 106 W. Main Street, Sophia, WV 25921 | 2009-07-06 |
| 1023257599 | Jeremiah D Miller | Family Medicine | 302 W. Main St., Sophia, WV 25921 | 2009-02-06 |
| 1154585941 | Mary Jane Tudor | Technician/Technologist | 834 Robert C Byrd Drive Unit B, Sophia, WV 25921 | 2008-07-11 |
| 1699962480 | Matthew Patrick Mcginnis | Dentist | 460 Robert C Byrd Dr, Sophia, WV 25921 | 2007-09-26 |
| Find all providers in zip 25921 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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 |
|---|---|---|---|---|
| 1356732192 | Wirt County Health Svc Assoc Inc | Pharmacy | 512 Church St S, Ripley, WV 25271-1616 | 2015-02-16 |
| 1487889010 | Community Health Systems Inc | Pharmacy | 131 Mellon St, Beckley, WV 25801 | 2009-05-27 |
| 1962698118 | Community Health Sytems, Inc | Pharmacy | 7127 Harper Rd, Glen Daniel, WV 25844 | 2007-09-21 |
| 1265592679 | Wv Rural Health Care Partnership | Pharmacy | State Route 79 Cabin Creek Road, Dawes, WV 25054-0070 | 2006-12-08 |
| 1912090135 | Wirt County Health Svc Assoc Inc | Pharmacy | 606 Washington St, Ravenswood, WV 26164-1730 | 2006-10-02 |
| 1386682540 | Community Health Systems Inc | Pharmacy | 252 Rural Acres Dr, Beckley, WV 25801-3503 | 2006-06-02 |
| 1679073779 | Boone Memorial Hospital, Inc | Pharmacy | 697 Madison Avenue, Suite B, Madison, WV 25130-2513 | 2018-02-15 |
| 1659762466 | Shenandoah Pharmacy, LLC | Pharmacy | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2015-02-16 |
| 1558796326 | Ebenezer Medical Outreach Inc | Pharmacy | 1448 10th Ave, Huntington, WV 25701-3581 | 2013-09-11 |
| 1881918837 | Man Rexcellence Program | Pharmacy | 600 E Mcdonald Ave, Man, WV 25635-1023 | 2010-03-19 |
| 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.