Don Edward Radcliff, RPH
Individual provider Active NPI Pharmacist · Elkview, WV
NPI 1003114331 · NPPES record last updated Jul 16, 2014
Key facts
- NPI
- 1003114331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 4288 (WV)
- Practice address
- 242 N Pinch Rd
Elkview, WV 25071-9330 - Phone
- (304) 935-4812
- Fax
- (304) 935-4814
- NPI assigned
- Mar 10, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4288 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Family Pharmacy, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4288 | WV | Yes |
Addresses
Primary practice location
242 N Pinch Rd
Elkview, WV 25071-9330
Mailing address
242 Pinch Rd
Elkview, WV 25071-9602
Phone (304) 935-4812
Other providers in Elkview, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.