Country Roads Pharmacy Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

SP0550106 Issued in WV

Legal business name

COUNTRY ROADS PHARMACY INC

Practice address

109 Bolt Rd
Glen Daniel, WV 25844-0000

Phone

(304) 934-5327

Fax

(304) 934-5328

NPI assigned

Nov 27, 2006

Last updated

Feb 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Teresa Celene Thompson, R.PH.NPI 1942529904

Title

Registered Pharmacist

Phone

(304) 934-5327

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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.

• Teresa C. Thompson, R.PH.

  • Pharmacist
  • Glen Daniel, WV
  • NPI 1942529904
  NPD Authorized official
• Jan L Roop, R.PH.

  • Pharmacist
  • Glen Daniel, WV
  • NPI 1295055259
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1093881898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460",
            "city": "GLEN DANIEL",
            "state": "WV",
            "postal_code": "258440460",
            "telephone_number": "304-934-5327",
            "fax_number": "304-934-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BOLT RD",
            "city": "GLEN DANIEL",
            "state": "WV",
            "postal_code": "258440000",
            "telephone_number": "304-934-5327",
            "fax_number": "304-934-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY ROADS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "CELENE",
        "authorized_official_title_or_position": "REGISTERED PHARMACIST",
        "authorized_official_telephone_number": "304-934-5327",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "SP0550106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0139243000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Community Health Systems Inc (AccessHealth Pharmacy Glen Daniel)
• Community Health Systems Inc (AccessHealth)
• Community Health Systems, Inc. (Access Health)
• Community Health Sytems, Inc (Access Health Pharmacy- Glen Daniel)
• Linda Cook
• Dr Ralph E Simms Inc
• Courtney Elizabeth Epling, P.A.
• Kaitlin Flannery
• Lisa Marie Fuson, MA, LSW
• Barbara Gosnell

• Pharmacist in Glen Daniel, WV
• Providers in Glen Daniel, WV by specialty
• Pharmacist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.