Active NPI
BP5 LLC
Doing business as Bypass Pharmacy # 5
- Pharmacy
- Chapmanville, WV
National Provider Identifier
1003414392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- BP5 LLC
- Doing business as
- Bypass Pharmacy # 5
- Practice address
- 816 Main St
Ste a
Chapmanville, WV 25508 - Phone
- (304) 853-5554
- NPI assigned
- Oct 9, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sid Ilangovan
- Title
- Owner/Member
- Phone
- (304) 222-3064
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
816 Main St
Ste a
Chapmanville, WV 25508
Mailing address
PO Box 4525
Chapmanville, WV 25508-4525
Other names 1
- BYPASS PHARMACY # 5
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210521000455 | WV | DME Supplier - Pharmacy | 4183023252 | Practice locations: Chapmanville, WV |
| O20210628001305 | WV | Part B Supplier - Mass Immunization (Roster Biller Only) | 4183023252 | Practice locations: Chapmanville, WV |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| BP5 LLC | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Chapmanville, WV
- NPI 1023215613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602201600000",
"number": "1003414392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4525",
"city": "CHAPMANVILLE",
"state": "WV",
"postal_code": "255084525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "816 MAIN ST",
"address_2": "STE A",
"city": "CHAPMANVILLE",
"state": "WV",
"postal_code": "25508",
"telephone_number": "304-853-5554"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BP5 LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-09",
"last_updated": "2020-10-09",
"certification_date": "2020-10-06",
"status": "A",
"authorized_official_last_name": "ILANGOVAN",
"authorized_official_first_name": "SID",
"authorized_official_title_or_position": "OWNER/MEMBER",
"authorized_official_telephone_number": "304-222-3064"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BYPASS PHARMACY # 5",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chapmanville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.