PRESTON-TAYLOR COMMUNITY HEALTH CENTERS INCORPORATED (NPI# 1962876110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962876110 |
| Entity Type | Organization |
| Organization Name | PRESTON-TAYLOR COMMUNITY HEALTH CENTERS INCORPORATED |
| Other Organization Name | PRESTON TAYLOR PHARMACY #2 |
| Practice Address |
30 Cortland Acres Ln Thomas WV 26292-8066 |
| Practice Telephone | 3044634200 |
| Practice Fax Number | 3044634201 |
| Mailing Telephone | 3044634200 |
| Mailing Fax Number | 3044634201 |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2016-08-12 |
| Authorized Official Name | KRISTEN WHITE (PIC) |
| Authorized Official Telephone | 3044634200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | MP0552420 | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2155503 | 01 |
| Other Name | Type Code |
|---|---|
| Preston Taylor Pharmacy #2 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841308541 | Preston-taylor Community Health Centers Incorporated | Clinic/Center | 711 N Pike St, Grafton, WV 26354 | 2006-08-25 |
| 1093729857 | Preston-taylor Community Health Centers Incorporated | Clinic/Center | 1 Renaissance Square, Rowlesburg, WV 26425-0565 | 2006-07-28 |
| Street Address |
30 CORTLAND ACRES LN |
| City | THOMAS |
| State | WV |
| Zip Code | 26292-8066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215340773 | Bradley Carroll | Massage Therapist | 122 East Avenue, Thomas, WV 26292-0122 | 2014-06-03 |
| 1598178089 | Jennifer Walker | Acupuncturist | 122 East Avenue, Thomas, WV 26292-0122 | 2014-06-03 |
| 1811548365 | Shirley Simmons | Technician | 295 Pierce-benbush Road, Thomas, WV 26292-0389 | 2019-09-26 |
| 1497367304 | Anna Marie Hibbs | Technician | 110 S Euclid Ave, Thomas, WV 26292-7732 | 2020-08-21 |
| 1629009204 | Herbert E Myers | Psychiatry & Neurology | 39 Cortland Acres Ln, Thomas, WV 26292-8018 | 2006-07-05 |
| 1952916579 | Nicholas Gregory Thilges | Physical Therapist | 39 Cortland Acres Ln, Thomas, WV 26292-8018 | 2020-09-10 |
| 1750990941 | Tyler Deal | Physical Therapist | 39 Cortland Acres Ln, Thomas, WV 26292-8018 | 2020-07-24 |
| 1063511731 | Cortland Acres Association Inc. | Nursing Facility/Intermediate Care Facility | 39 Cortland Acres Ln, Thomas, WV 26292-8018 | 2006-09-21 |
| 1750401667 | Donald Charles Black | Physical Therapist | Hc 60 Box 98, Thomas, WV 26292-9704 | 2007-04-02 |
| 1821082801 | Edwin Rader | Family Medicine | 30 Cortland Acres Lane, Thomas, WV 26292-9704 | 2005-09-07 |
| Find all providers in zip 26292 | ||||
| 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 |
|---|---|---|---|---|
| 1740369669 | Thomas Drug Inc | Pharmacy | 145 W Broadway Ave, Thomas, OK 73669-8266 | 2006-11-02 |
| 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 | ||||
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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.