HPC Specialty RX West Virginia Inc

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

SP0552505 Issued in WV

Legal business name

HPC SPECIALTY RX WEST VIRGINIA INC

Doing business as

HPC Specialty Rx West Virginia Inc.

Practice address

118 Lafayette Ave Ste 200
Moundsville, WV 26041-1029

Phone

(800) 757-9192

Fax

(855) 813-0583

NPI assigned

Jan 21, 2016

Organization subpart

No

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

Authorized official

Name

Nickolas Shoemaker

Title

Cfo / Owner

Phone

(800) 757-9192

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• HPC Specialty Rx West Virginia Inc. Doing business as

Locations

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1063879096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6423 SHELBY VIEW DR STE 104",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381347614",
            "telephone_number": "800-757-9192",
            "fax_number": "855-813-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 LAFAYETTE AVE STE 200",
            "city": "MOUNDSVILLE",
            "state": "WV",
            "postal_code": "260411029",
            "telephone_number": "800-757-9192",
            "fax_number": "855-813-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HPC SPECIALTY RX WEST VIRGINIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "SHOEMAKER",
        "authorized_official_first_name": "NICKOLAS",
        "authorized_official_title_or_position": "CFO / OWNER",
        "authorized_official_telephone_number": "800-757-9192"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "WV",
            "license": "SP0552505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157693",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063879096",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HPC Specialty Rx West Virginia Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HPC Specialty Rx West Virginia Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialty Pharmacy in Moundsville, WV
• Providers in Moundsville, WV by specialty
• Specialty Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.