MAN REXCELLENCE PROGRAM (NPI# 1881918837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881918837 |
Entity Type | Organization |
Organization Name | MAN REXCELLENCE PROGRAM |
Other Organization Name | LINCOLN COUNTY PRIMARY CARE CENTER, INC. |
Practice Address |
600 E Mcdonald Ave Man WV 25635-1023 |
Mailing Address |
7400 Lynn Ave Hamlin WV 25523-1138 |
Practice Telephone | 3045838585 |
Practice Fax Number | 3045830129 |
Mailing Telephone | 3048245806 |
Mailing Fax Number | 3048245804 |
Enumeration Date | 2010-03-19 |
Last Update Date | 2020-04-01 |
Authorized Official Name | MR. CHRIS ROBERT HARPER (PHARMACIST) |
Authorized Official Telephone | 3048245806 |
Authorized Official Credential | PHARM.D, RHP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
Other Name | Type Code |
---|---|
Lincoln County Primary Care Center, Inc. | Other Name - Individual/Organization |
Street Address |
600 E MCDONALD AVE |
City | MAN |
State | WV |
Zip Code | 25635-1023 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700880762 | Rachel Leigh Stover | Nurse Practitioner | 600 E Mcdonald Ave, Man, WV 25635-1023 | 2005-06-08 |
1477174035 | Lincoln County Primary Care Center Inc | Clinic/Center | 600 E Mcdonald Ave, Man, WV 25635-1023 | 2020-05-05 |
1689997678 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 600 E Mcdonald Ave, Man, WV 25635-1023 | 2010-03-05 |
1427201060 | Regina A. Bias | Clinical Nurse Specialist | 600 E Mcdonald Ave, Man, WV 25635-1023 | 2008-10-28 |
1225227549 | Alice Childers | Radiologic Technologist | 600 E Mcdonald Ave, Man, WV 25635-1023 | 2007-10-23 |
1295924512 | Michelle L. Toler | Radiologic Technologist | 600 E Mcdonald Ave, Man, WV 25635-1023 | 2007-10-23 |
1033205836 | Community Health Foundation | Dentist | 600 E Mcdonald Ave, Man, WV 25635-1023 | 2006-10-05 |
1255335212 | Radhakrishna M Bellam | Family Medicine | 600 E Mcdonald Ave, Man, WV 25635-1023 | 2005-06-08 |
1164426128 | Connie Dale Cook II | Physician Assistant | 600 E Mcdonald Ave, Man, WV 25635-1097 | 2005-06-08 |
1700880747 | Enrico V Rallos | Family Medicine | 600 E Mcdonald Ave, Man, WV 25635-1023 | 2005-06-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902456718 | Jennifer Lynn Fletcher | Registered Nurse | 800 East Mcdonald Avenue, Man, WV 25635 | 2019-09-13 |
1497122469 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 308 Huff Creek Highway, Man, WV 25635 | 2015-08-26 |
1053660167 | Misty Linville Collins | Pharmacist | 650 East Mcdonald Ave, Man, WV 25635 | 2012-09-05 |
1760551618 | Community Prescription Center Inc | Durable Medical Equipment & Medical Supplies | 124 Main St, Man, WV 25635 | 2006-11-07 |
1902835010 | Family Healthcare Associates Inc | Family Medicine | 114 Main Street, Man, WV 25635-0114 | 2006-07-01 |
1780090167 | Julie Ann Walls | Nurse Practitioner | 650 E Mcdonald Ave, Man, WV 25635-1012 | 2014-07-07 |
1033370051 | Philip A Galapon | Family Medicine | 650 E Mcdonald Ave, Man, WV 25635-1012 | 2008-06-23 |
1750363685 | Christopher Joseph Tipton | Physician Assistant | 650 E Mcdonald Ave, Man, WV 25635-1012 | 2005-11-16 |
1225175102 | Terri D Doss | Pharmacist | 601 E Mcdonald Ave, Prescription Center, Man, WV 25635-1022 | 2007-01-31 |
1184620841 | Community Health Foundation of Man Wv | Clinic/Center | 600 East Mcdonald Avenue, Man, WV 25635-1023 | 2005-06-27 |
Find all providers in zip 25635 |
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 |
1609194505 | New River Health Association, Inc. | Pharmacy | 302 W. Main St, Sophia, WV 25921 | 2010-05-17 |
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 |
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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.