Active NPI
Devon Janean Efaw
- Pharmacist
- Shinnston, WV
National Provider Identifier
1104349059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0010195
- Practice address
- 208 S Pike St
Shinnston, WV 26431-1122 - Phone
- (304) 592-8003
- NPI assigned
- Jul 24, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0010195 | WV | Primary |
Addresses
Primary practice location
208 S Pike St
Shinnston, WV 26431-1122
Mailing address
4674 Husky Hwy
Mannington, WV 26582-7150
Phone (304) 365-2418
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP0010195 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513296000000",
"number": "1104349059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4674 HUSKY HWY",
"city": "MANNINGTON",
"state": "WV",
"postal_code": "265827150",
"telephone_number": "304-365-2418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 S PIKE ST",
"city": "SHINNSTON",
"state": "WV",
"postal_code": "264311122",
"telephone_number": "304-592-8003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EFAW",
"first_name": "DEVON",
"middle_name": "JANEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-24",
"last_updated": "2017-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0010195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shinnston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.