BLANDS DRUG STORE (NPI# 1790780377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790780377 |
| Entity Type | Organization |
| Organization Name | BLANDS DRUG STORE |
| Other Organization Name | BLANDS DRUG STORE |
| Practice Address |
217 W Pike St Clarksburg WV 26301-2750 |
| Practice Telephone | 3046245491 |
| Practice Fax Number | 3046230830 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2007-09-13 |
| Authorized Official Name | BRENDA FOX (PIC) |
| Authorized Official Telephone | 3046245491 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
SP0550017 | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0139685000 | 05 | |
| WV | 8500169 | 05 | |
| OTHER ID NUMBER | 5000980 | 01 |
| Other Name | Type Code |
|---|---|
| BLANDS DRUG STORE | Doing Business As Name - Organization |
| Street Address |
217 W PIKE ST |
| City | CLARKSBURG |
| State | WV |
| Zip Code | 26301-2750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539525 | Christina Burnside | Technician | 89 Green Acres, Clarksburg, WV 26301 | 2020-08-18 |
| 1447764907 | Jonathan Moore | Nurse Practitioner | 1 Medical Ctr. Drive, Clarksburg, WV 26301 | 2017-11-20 |
| 1003241936 | Jennifer Destito | Occupational Therapist | 308 E B Saunders Way, Clarksburg, WV 26301 | 2013-09-11 |
| 1215290481 | Dustin James Getz | Dentist | 200 Route 98 Medwood Plaza, Suite 302, Nutter Fort, WV 26301 | 2012-06-21 |
| 1326339987 | Debra Amos | Counselor | 200 Route 98, Nutter Fort, WV 26301 | 2011-04-29 |
| 1649572140 | Amanda Wilfong | Pharmacist | W Pike and Smith St, Clarksburg, WV 26301 | 2010-12-03 |
| 1265661060 | Jaclyn Elsey Rominger | Dentist | 2017 East Pike St, All Smiles Dental LLC, Clarksburg, WV 26301 | 2009-07-14 |
| 1588815732 | Kimberly Sue Waggy | Psychologist | 408 Eb Saunders Way, Clarksburg, WV 26301 | 2008-10-07 |
| 1659521862 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 538 Emily Dr., Space 20, Clarksburg, WV 26301 | 2008-09-24 |
| 1477715753 | Roxanna L Rinehart | Registered Nurse | 1 Med Ctr Dr, Louis A Johnson Vamc, Clarksburg, WV 26301 | 2008-06-27 |
| Find all providers in zip 26301 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588733430 | Newpointe Pharmacy LLC | Pharmacy | 463 Emily Dr, Clarksburg, WV 26301-5512 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306476940 | Amber Enterprises, Inc. | Pharmacy | 615 Lee St E, Charleston, WV 25301-2118 | 2020-01-23 |
| 1609324284 | Apex Pharmacy LLC | Pharmacy | 165 Ragland Rd, Beckley, WV 25801-9763 | 2016-09-13 |
| 1649516824 | Tiger Pharmacy Inc | Pharmacy | 68 Boise Street, Chapmanville, WV 25508 | 2012-12-17 |
| 1801119110 | Custom Script Infusion Vital Care LLC | Pharmacy | 3738 Teays Valley Rd, Suite C, Hurricane, WV 25526-9705 | 2010-03-02 |
| 1134307036 | Rpsm LLC | Pharmacy | 5078 Williamsport Pike, Ste A, Martinsburg, WV 25404-6458 | 2008-02-04 |
| 1942487822 | Kines Family Pharmacy Inc | Pharmacy | 6097 Sissonville Dr, Charleston, WV 25312 | 2008-01-23 |
| 1528085966 | Loop Plaza Pharmacy Co | Pharmacy | 72 6th Ave, Saint Albans, WV 25177-2769 | 2006-07-15 |
| 1912977588 | Medi-save Pharmacy Inc | Pharmacy | 1405 Bonnie View Ter, Keyser, WV 26726-2801 | 2006-01-25 |
| 1447236583 | T & J Enterprises, Inc | Pharmacy | 2402 Adams Ave, Huntington, WV 25704-1322 | 2005-12-20 |
| 1760095004 | Medi-save Pharmacy Inc | Pharmacy | 1405 Bonnie View Ter, Keyser, WV 26726-2801 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSBURG |
| Zip Code | 26301 |
Please comment or provide details below to improve the information on BLANDS DRUG STORE.
| 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.