Organization Active NPI

RPCB LLC

  • Community/Retail Pharmacy
  • Capon Bridge, WV
National Provider Identifier
1013171107
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
MP0552368 Issued in WV
Legal business name
RPCB LLC
Practice address
2830 Northwestern Pike
Capon Bridge, WV 26711-9052
Phone
(304) 856-2901
Fax
(304) 856-2907
NPI assigned
Jul 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melvin Hemerick, PHARMDNPI 1962807115
Title
Owner
Phone
(304) 856-2901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X MP0552368 WV Primary

Addresses

Primary practice location

2830 Northwestern Pike
Capon Bridge, WV 26711-9052

Mailing address

2830 Northwestern Pike
Capon Bridge, WV 26711-9052
Phone (304) 856-2901

Other identifiers 3

IdentifierTypeStateIssuer
2116926OtherPK
1013171107MedicaidVA
3810013463MedicaidWV

Other names 1

  • Reed's Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20120103000342 WV DME Supplier - Pharmacy 5698941268 Practice locations: Capon Bridge, WV
O20120524000005 WV Part B Supplier - Mass Immunization (Roster Biller Only) 5698941268 Practice locations: Capon Bridge, WV
O20220622003408 WV Part B Supplier - Independent Clinical Laboratory 5698941268 Practice locations: Capon Bridge, WV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D2237311RPCB LLC Dba Reed'S Pharmacy 52830 Northwestern Pike, Capon Bridge, WV 26711Certificate of waiverSep 22, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Reed'S Pharmacy 52830 Northwestern Pike, Capon Bridge, WV 26711-9052(304) 856-2901 Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Enteral Nutrients|Nebulizer E… Accepts assignmentParticipating since Jan 1, 2011

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2830 Northwestern Pike
Capon Bridge, WV 26711
Phone (304) 856-2901

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1013171107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 NORTHWESTERN PIKE",
            "city": "CAPON BRIDGE",
            "state": "WV",
            "postal_code": "267119052",
            "telephone_number": "304-856-2901",
            "fax_number": "304-856-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 NORTHWESTERN PIKE",
            "city": "CAPON BRIDGE",
            "state": "WV",
            "postal_code": "267119052",
            "telephone_number": "304-856-2901",
            "fax_number": "304-856-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RPCB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "HEMERICK",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-856-2901",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "MP0552368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2116926",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013171107",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810013463",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reed's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Capon Bridge, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.

Verify at the official NPI Registry.