Active NPI
Micheal D McCoy, PHARM D
- Pharmacist
- Chapmanville, WV
National Provider Identifier
1023215613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6579
- Practice address
- 816 Main Street, Suite a
Chapmanville, WV 25508 - Phone
- (304) 853-5554
- Fax
- (304) 853-5504
- NPI assigned
- Jun 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6579 | WV | Primary |
Addresses
Primary practice location
816 Main Street, Suite a
Chapmanville, WV 25508
Mailing address
PO Box 471
Pineville, WV 24874-0471
Phone (304) 732-6969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6579 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BP5 LLC | Current | Accepting new patients | |
| Charlies Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Chapmanville, WV
- NPI 1003414392
-
- Community/Retail Pharmacy
- Pineville, WV
- NPI 1003909227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637539200000",
"number": "1023215613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 471",
"city": "PINEVILLE",
"state": "WV",
"postal_code": "248740471",
"telephone_number": "304-732-6969",
"fax_number": "304-732-6866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "816 MAIN STREET, SUITE A",
"city": "CHAPMANVILLE",
"state": "WV",
"postal_code": "25508",
"telephone_number": "304-853-5554",
"fax_number": "304-853-5504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "MICHEAL",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-28",
"last_updated": "2021-11-22",
"certification_date": "2021-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "6579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.