Misty Linville Collins, RPH
Individual provider Active NPI Pharmacist · Man, WV
NPI 1053660167 · NPPES record last updated Sep 5, 2012
Key facts
- NPI
- 1053660167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5587 (WV)
- Practice address
- 650 East McDonald Ave
Man, WV 25635 - Phone
- (304) 583-0535
- NPI assigned
- Sep 5, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 5587 | WV | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5587 | WV | Yes |
Addresses
Primary practice location
650 East McDonald Ave
Man, WV 25635
Mailing address
650 East McDonald Ave
Man, WV 25635
Phone (304) 583-0535
Other providers in Man, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2012. 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.