Procare Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

SP0552301 Issued in WV

Legal business name

PROCARE PHARMACY INC.

Practice address

720 Pike St
Shinnston, WV 26431-1435

Phone

(304) 592-2680

Fax

(304) 592-2684

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Yvonne Kay West, RPH

Title

Pharmacist in Charge

Phone

(304) 592-2680

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yvonne Kay Tenney, RPH

  • Pharmacist
  • Shinnston, WV
  • NPI 1477637395
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1073737003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 PIKE ST",
            "city": "SHINNSTON",
            "state": "WV",
            "postal_code": "264311435",
            "telephone_number": "304-592-2680",
            "fax_number": "304-592-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 PIKE ST",
            "city": "SHINNSTON",
            "state": "WV",
            "postal_code": "264311435",
            "telephone_number": "304-592-2680",
            "fax_number": "304-592-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "304-592-2680",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0552301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003088000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah R. Patrick, FNP-BC
• Morganne Phillips
• Alisha Ann Poling
• Robert William Powelson
• Aimee Marie Pride, M.S., CRC, QRP
• Jasmine Reed
• Wendy L Riley
• Lauren Robinson
• Joseph Rucker
• Lorenda Schwartz

• Community/Retail Pharmacy in Shinnston, WV
• Providers in Shinnston, 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 27, 2015; 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.