Rivesville Community Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

SP0550695 Issued in WV

Legal business name

RIVESVILLE COMMUNITY PHARMACY, INC.

Practice address

426 Main St.
Rivesville, WV 26588-0307

Phone

(304) 278-7884

Fax

(304) 278-7655

NPI assigned

Jul 2, 2006

Last updated

Jun 3, 2020By 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

Mr. Martin A Hoffman Sr.

Title

Pharmacist in Charge--Owner

Phone

(304) 278-7884

Specialties & licenses 2

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 1

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.

• Carol A Hoffman

  • Pharmacist
  • Rivesville, WV
  • NPI 1760578504
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1184653909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "RIVESVILLE",
            "state": "WV",
            "postal_code": "265880307",
            "telephone_number": "304-278-7884",
            "fax_number": "304-278-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 MAIN ST.",
            "city": "RIVESVILLE",
            "state": "WV",
            "postal_code": "265880307",
            "telephone_number": "304-278-7884",
            "fax_number": "304-278-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVESVILLE COMMUNITY PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE--OWNER",
        "authorized_official_telephone_number": "304-278-7884",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0550695",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0142256000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aarron Edward Myers
• Rebecca Dawn Newbraugh
• Trish Oliver
• Jeri Lynn Perkins
• Lois Jean Poole
• Kathleen Servian, LPC
• Casey Shaver
• Brian Watkins
• Helen Reba Weekley
• Carol Jo Yost

• Community/Retail Pharmacy in Rivesville, WV
• Providers in Rivesville, WV by specialty
• Community/Retail Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.