McCloud Family Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

SP0552325 Issued in WV

Legal business name

MCCLOUD FAMILY PHARMACY INC

Doing business as

MCCLOUD FAMILY PHARMACY

Practice address

4541 5TH Street Rd
Huntington, WV 25701-9112

Phone

(304) 522-6090

Fax

(304) 522-6094

NPI assigned

Jun 13, 2006

Organization subpart

No

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

Authorized official

Name

Kevin McCloud, RPH

Title

Owner,Pic,Ao

Phone

(304) 522-6090

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MCCLOUD FAMILY PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1205879087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LAVALETTE",
            "state": "WV",
            "postal_code": "255350909",
            "telephone_number": "304-522-6090",
            "fax_number": "304-522-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4541 5TH STREET RD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257019112",
            "telephone_number": "304-522-6090",
            "fax_number": "304-522-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCLOUD FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "MCCLOUD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER,PIC,AO",
        "authorized_official_telephone_number": "304-522-6090",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0552325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004197",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2111570",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCCLOUD FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adrienne McClanahan
• Caden James McClanahan, CRNA
• Corey McClanahan, RPH
• Johanna Helen McClanahan, CRNA
• Emilie McClellan
• Ashtin McCloud
• Darby Jo McCloud, M.A.
• Deborah McCloud
• Jeffrey McCloud
• Kevin McCloud

• Community/Retail Pharmacy in Huntington, WV
• Providers in Huntington, 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 Jul 17, 2015; 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.