Organization Active NPI

Gil-Co Faith Pharmacy Inc.

  • Community/Retail Pharmacy
  • Glenville, WV
National Provider Identifier
1063516029
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GIL-CO FAITH PHARMACY INC.
Practice address
356 WV Highway 5 E
Glenville, WV 26351-7602
Phone
(304) 462-8300
Fax
(304) 462-0324
NPI assigned
Sep 12, 2006
Last updated
Nov 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Aimee Hartshorn, PHARMDNPI 1316297237
Title
Secretary
Phone
(304) 462-8300

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU Primary
Long Term Care Pharmacy 3336L0003X SP0552306 WV

Addresses

Primary practice location

356 WV Highway 5 E
Glenville, WV 26351-7602

Mailing address

356 WV Highway 5 E
Glenville, WV 26351-7602
Phone (304) 462-8300

Other identifiers 3

IdentifierTypeStateIssuer
0138856000MedicaidWV
5008241OtherOTHER ID NUMBER
5008241MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930078908 WV DME Supplier - Pharmacy 7719008192 Practice locations: Glenville, WV
O20130910000509 WV Part B Supplier - Mass Immunization (Roster Biller Only) 7719008192 Practice locations: Glenville, 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
51D1047059Gil-Co Faith Pharmacy356 WV Highway 5 East, Glenville, WV 26351Certificate of waiverOct 24, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Gil-Co Faith Pharmacy Inc356 WV Highway 5 E, Glenville, WV 26351-7602(304) 462-8300 Immunosuppressive Drugs|Nebulizer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Walkers|Ostomy Supplies|Urological Supplies|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Feb 23, 2003

National Provider Directory

National Provider Directory

Locations

356 WV Highway 5 E
Glenville, WV 26351
Phone (304) 462-8300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1063516029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 WV HIGHWAY 5 E",
            "city": "GLENVILLE",
            "state": "WV",
            "postal_code": "263517602",
            "telephone_number": "304-462-8300",
            "fax_number": "304-462-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 WV HIGHWAY 5 E",
            "city": "GLENVILLE",
            "state": "WV",
            "postal_code": "263517602",
            "telephone_number": "304-462-8300",
            "fax_number": "304-462-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIL-CO FAITH PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "HARTSHORN",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "304-462-8300",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WV",
            "license": "SP0552306",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0138856000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "5008241",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5008241",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.