Organization Active NPI

Sunrise Pharmacy of Capon Bridge

  • Compounding Pharmacy
  • Capon Bridge, WV
National Provider Identifier
1083757462
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
SUNRISE PHARMACY OF CAPON BRIDGE
Practice address
Suites 2 and 3 Bear Garden Plaza
Capon Bridge, WV 26711
Phone
(304) 856-3301
Fax
(304) 856-3312
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Charles Robsbaugh, RPH
Title
President
Phone
(304) 822-7257

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X SP0552351 WV
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

Suites 2 and 3 Bear Garden Plaza
Capon Bridge, WV 26711

Mailing address

HC 61 Box 301
Capon Bridge, WV 26711

Other identifiers 1

IdentifierTypeStateIssuer
5054452OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Sunrise Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1083757462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 61 BOX 301",
            "city": "CAPON BRIDGE",
            "state": "WV",
            "postal_code": "26711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITES 2 AND 3 BEAR GARDEN PLAZA",
            "city": "CAPON BRIDGE",
            "state": "WV",
            "postal_code": "26711",
            "telephone_number": "304-856-3301",
            "fax_number": "304-856-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE PHARMACY OF CAPON BRIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ROBSBAUGH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-822-7257",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0552351",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5054452",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Capon Bridge, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.