WEST VIRGINIA CVS PHARMACY LLC (NPI# 1962505628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962505628 |
| Entity Type | Organization |
| Organization Name | WEST VIRGINIA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #03186 |
| Practice Address |
701 East Main St Clarksburg WV 26301-3225 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 3046240161 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2014-04-18 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR) |
| Authorized Official Telephone | 4017651500 |
| 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 | ||
| Y | 333600000X | Pharmacy | 551211 | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 5010412 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #03186 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164858148 | West Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1000 Pineview Dr, Morgantown, WV 26505-2754 | 2013-09-23 |
| 1265663207 | West Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4205 Maccorkle Ave Se, Charleston, WV 25304-2501 | 2009-08-06 |
| 1235364043 | West Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 436 Retail Commons Pkwy, Martinsburg, WV 25403-6183 | 2009-05-22 |
| 1558532713 | West Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 46 Middleway Pike, Inwood, WV 25428-3713 | 2008-03-17 |
| 1326121955 | West Virginia Cvs Pharmacy LLC | Pharmacy | 300 Cabela Dr, Triadelphia, WV 26059-1023 | 2006-10-24 |
| 1316041098 | West Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 45 S Mineral St, Keyser, WV 26726-3126 | 2006-09-12 |
| 1134223811 | West Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3901 Teays Valley Rd, Hurricane, WV 25526-9604 | 2006-09-12 |
| 1407950181 | West Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1200 Edwin Miller Blvd, Martinsburg, WV 25404-3702 | 2006-09-12 |
| 1225132905 | West Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 328 West Washington St, Charles Town, WV 25414-1534 | 2006-09-12 |
| 1962505610 | West Virginia Cvs Pharmacy LLC | Pharmacy | 121 10th St, Dunbar, WV 25064-3103 | 2006-09-07 |
| Street Address |
701 EAST MAIN ST |
| City | CLARKSBURG |
| State | WV |
| Zip Code | 26301-3225 |
| 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 | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306870183 | Kroger Limited Partnership I | Pharmacy | 198 Emily Dr, Clarksburg, WV 26301-5501 | 2006-07-10 |
| 1881628592 | Kroger Limited Partnership I | Pharmacy | 788 W Pike St, Clarksburg, WV 26301-2649 | 2006-07-10 |
| 1568723179 | Health Access Inc | Pharmacy | 489 Washington Ave, Clarksburg, WV 26301-2825 | 2012-05-31 |
| 1841221975 | K Mart Corp | Pharmacy | 102 Emily Dr, Clarksburg, WV 26301-5501 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821601592 | Ashton Blake Sparks | Pharmacy | 21 Pyramid Dr Apt 620, Huntington, WV 25705-3269 | 2020-08-24 |
| 1609418268 | Winfield Family Pharmacy | Pharmacy | 12044 Winfield Road, Winfield, WV 25213 | 2019-10-15 |
| 1295382083 | Shelby Paige Humphrey | Pharmacy | Marshall School of Pharmacy One John Marshall Drive, Huntington, WV 25755-0001 | 2019-08-26 |
| 1194289934 | Bp6 LLC | Pharmacy | 360 Mount Gay Rd, Mount Gay, WV 25637 | 2019-01-25 |
| 1316424948 | Team J & J Corp | Pharmacy | 48 1/2 W. 2nd Ave, Williamson, WV 25661 | 2018-07-26 |
| 1053825711 | Genoa Healthcare, LLC | Pharmacy | 101 S Eisenhower Dr Ste P, Beckley, WV 25801-4929 | 2017-11-16 |
| 1336661834 | Rainelle Medical Center, Inc. | Pharmacy | 390 Industrial Park Rd, Maxwelton, WV 24957-8073 | 2017-07-17 |
| 1447783931 | Pharmacole Inc | Pharmacy | 13030 Shortline Hwy, Pine Grove, WV 26419-8291 | 2017-04-11 |
| 1033564893 | New Trail Clinical Pharmacy Solutions | Pharmacy | 521 Jesse James Dr, Rock, WV 24747-9779 | 2016-04-29 |
| 1386005148 | New River Health Association, Inc | Pharmacy | 217 W Maple Ave, Fayetteville, WV 25840-1413 | 2016-03-08 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSBURG |
| Zip Code | 26301 |
Please comment or provide details below to improve the information on WEST VIRGINIA CVS PHARMACY LLC.
| 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.