Appalachian Regional Healthcare, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

APPALACHIAN REGIONAL HEALTHCARE, INC

Doing business as

ARH Beaver Pharmacy

Practice address

725 Ritter Dr
Glen Morgan, WV 25813-7709

Phone

(304) 255-3590

Fax

(304) 254-9798

NPI assigned

Nov 23, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Hollie P Harris

Title

President and Ceo

Phone

(859) 226-2511

Specialties & licenses 2

Addresses

Other names 1

• ARH Beaver Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

All facility ownership & control disclosures 24

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1043977101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RITTER DR",
            "city": "GLEN MORGAN",
            "state": "WV",
            "postal_code": "258137709",
            "telephone_number": "606-437-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RITTER DR",
            "city": "GLEN MORGAN",
            "state": "WV",
            "postal_code": "258137709",
            "telephone_number": "304-255-3590",
            "fax_number": "304-254-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN REGIONAL HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "HOLLIE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "859-226-2511",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARH Beaver Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ARH Beaver Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Boyd
• Anthony Bragg
• Carol Bryant
• Sarah Burks
• Bypass Pharmacy Inc

• Community/Retail Pharmacy in Glen Morgan, WV
• Providers in Glen Morgan, WV by specialty
• Community/Retail Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.