West Virginia CVS Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

550732 Issued in WV

Legal business name

WEST VIRGINIA CVS PHARMACY LLC

Practice address

188 Flowing Springs Rd
Charles Town, WV 25414-3911

Phone

(304) 725-9707

NPI assigned

Sep 7, 2006

Organization subpart

No

Name

Susan Colbert

Title

Director

Phone

(401) 765-1500

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

• CVS Pharmacy Inc

  • Pharmacy
  • Dallas, TX
  • NPI 1578667366

  Member Of

  NPD member

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

Medicare fee-for-service enrollment

Enrolled in WV2 enrollments

Enrollment records 2

Tax ID family

West Virginia CVS Pharmacy LLC51 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 23

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• West Virginia CVS Pharmacy LLC

  • Pharmacy
  • Hurricane, WV
  • NPI 1023791787
  NPD tax ID
• West Virginia CVS Pharmacy LLC

  • Pharmacy
  • Parkersburg, WV
  • NPI 1053414706
  NPD tax ID
• West Virginia CVS Pharmacy LLC

  • Pharmacy
  • Huntington, WV
  • NPI 1053414714
  NPD tax ID
• West Virginia CVS Pharmacy LLC

  • Pharmacy
  • Weston, WV
  • NPI 1063515724
  NPD tax ID
• West Virginia CVS Pharmacy LLC

  • Pharmacy
  • Summersville, WV
  • NPI 1073616736
  NPD tax ID
• West Virginia CVS Pharmacy LLC

  • Community/Retail Pharmacy
  • Morgantown, WV
  • NPI 1124041421
  NPD tax ID
• West Virginia CVS Pharmacy LLC

  • Pharmacy
  • Parkersburg, WV
  • NPI 1124121645
  NPD tax ID
• West Virginia CVS Pharmacy LLC

  • Pharmacy
  • Hurricane, WV
  • NPI 1134223811
  NPD tax ID
• West Virginia CVS Pharmacy LLC

  • Pharmacy
  • Huntington, WV
  • NPI 1144323809
  NPD tax ID
• West Virginia CVS Pharmacy LLC

  • Pharmacy
  • Saint Albans, WV
  • NPI 1144323890
  NPD tax ID
• West Virginia CVS Pharmacy LLC

  • Pharmacy
  • Fayetteville, WV
  • NPI 1154424810
  NPD tax ID
• West Virginia CVS Pharmacy LLC

  • Pharmacy
  • Morgantown, WV
  • NPI 1164858148
  NPD tax ID

• CVS PHARMACY #04159 Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 8, 2012.

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1164525820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "PO BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 FLOWING SPRINGS RD",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254143911",
            "telephone_number": "304-725-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VIRGINIA CVS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "401-765-1500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WV",
            "license": "550732",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5006386",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY #04159",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Walgreen Co
• Walgreen Co.
• Morgan Taylor Walters, MSW, LGSW
• Kiren Ward
• Heather Lynn Weaver-Farias
• West Virginia CVS Pharmacy LLC
• West Virginia University Medical Corporation
• West Virginia University Medical Corporation
• West Virginia University Medical Corporation
• West Virginia University Medical Corporation

• All providers in Charles Town, WV
• Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.