NPIMap

Organization Active NPI

RPHV LLC

  • Community/Retail Pharmacy
  • Hedgesville, WV
National Provider Identifier
1083780191
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
MP0552314 Issued in WV
Legal business name
RPHV LLC
Practice address
71 Cowardly Lion Dr
Hedgesville, WV 25427-6785
Phone
(304) 754-5800
Fax
(304) 754-3400
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Mark Williams, G
Title
Officer
Phone
(304) 754-5800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X MP0552314 WV Primary

Addresses

Primary practice location

71 Cowardly Lion Dr
Hedgesville, WV 25427-6785

Mailing address

71 Cowardly Lion Dr
Hedgesville, WV 25427-6785
Phone (304) 754-5800

Other identifiers 2

IdentifierTypeStateIssuer
0141848001MedicaidWV
2111414OtherPK

Other names 1

  • RPHV LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071107000848 WV Part B Supplier - Mass Immunization (Roster Biller Only) 2860589843 Practice locations: Hedgesville, WV

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

71 Cowardly Lion Dr
Hedgesville, WV 25427
Phone (304) 754-5800

71 Cowardly Lion Dr
Ste A
Hedgesville, WV 25427
Phone (304) 754-5800

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1083780191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 COWARDLY LION DR",
            "city": "HEDGESVILLE",
            "state": "WV",
            "postal_code": "254276785",
            "telephone_number": "304-754-5800",
            "fax_number": "304-754-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 COWARDLY LION DR",
            "city": "HEDGESVILLE",
            "state": "WV",
            "postal_code": "254276785",
            "telephone_number": "304-754-5800",
            "fax_number": "304-754-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RPHV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "304-754-5800",
        "authorized_official_credential": "G"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "MP0552314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0141848001",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2111414",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RPHV LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hedgesville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.