Pennsboro Family Pharmacy a Limited Liability Company

Primary specialty

PharmacistTaxonomy code 183500000X

License

SP0552234 Issued in WV

Legal business name

PENNSBORO FAMILY PHARMACY A LIMITED LIABILITY COMPANY

Doing business as

Family Pharmacy

Practice address

401 - A West Myles Avenue
Pennsboro, WV 26415-1330

Phone

(304) 659-4234

Fax

(304) 659-4235

NPI assigned

Aug 26, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Susan G Echard

Title

Owner

Phone

(304) 659-4234

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Family Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305849600000",
    "number": "1174631576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 - A WEST MYLES AVENUE",
            "city": "PENNSBORO",
            "state": "WV",
            "postal_code": "264151330",
            "telephone_number": "304-659-4234",
            "fax_number": "304-659-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 - A WEST MYLES AVENUE",
            "city": "PENNSBORO",
            "state": "WV",
            "postal_code": "264151330",
            "telephone_number": "304-659-4234",
            "fax_number": "304-659-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSBORO FAMILY PHARMACY A LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-26",
        "last_updated": "2011-05-20",
        "status": "A",
        "authorized_official_last_name": "ECHARD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-659-4234",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "SP0552234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5011399",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010516000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cathy McKinney
• Kimberly Michael
• Trinity Neely
• Shannon Marie Nelson
• Colleen Newton
• Ritchie County Primary Care Assoc., Inc. (Integrated Health Centers of West Virginia)
• Sarah Ann Robinson, RN, MSN, PMHNP-BC
• Christa Jutta Smith
• James Smith
• Mark Alan Spiker

• Pharmacist in Pennsboro, WV
• Providers in Pennsboro, WV by specialty
• Pharmacist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; 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.