BP6 LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BP6 LLC

Practice address

360 Mount Gay Rd
Mount Gay, WV 25637

Phone

(304) 752-1445

Fax

(304) 752-1468

NPI assigned

Jan 25, 2019

Organization subpart

No

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

Authorized official

Name

Siddarthan Ilangovan, BPHARM, MPHARM, RPH

Title

Owner/Pharmacist

Phone

(304) 222-3064

Specialties & licenses 2

Addresses

Other names 1

• Bypass Pharmacy # 6 Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Lloyd, PHARMACIST

  • Pharmacist
  • Mount Gay, WV
  • NPI 1558978536
  NPD (past)

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1194289934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S EISENHOWER DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258014930",
            "telephone_number": "304-222-3064",
            "fax_number": "304-253-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MOUNT GAY RD",
            "city": "MOUNT GAY",
            "state": "WV",
            "postal_code": "25637",
            "telephone_number": "304-752-1445",
            "fax_number": "304-752-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BP6 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "ILANGOVAN",
        "authorized_official_first_name": "SIDDARTHAN",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "304-222-3064",
        "authorized_official_credential": "BPHARM, MPHARM, RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bypass Pharmacy # 6",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bypass Pharmacy # 6",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Virginia Adkins
• Larry Edward Bartoe, B.S.
• Justin Booth, PHARMD.
• Justin Robert Bradford, PHARMD
• Kristin L Caudill
• Earl Claycomb, RPH
• Karen Collins
• Regina A England

• Community/Retail Pharmacy in Mount Gay, WV
• Providers in Mount Gay, 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 Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.