Van Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

VAN PHARMACY, INC

Practice address

19024 Pond Fork Road
Van, WV 25206

Phone

(304) 245-8255

Fax

(304) 245-8133

NPI assigned

Aug 2, 2005

Last updated

Jan 2, 2018By 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

Mrs. Robin Anita Moore

Title

Owner

Phone

(304) 245-8255

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV2 enrollments

Enrollment records 2

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.

• Joey N Smith, RPH

  • Pharmacist
  • Van, WV
  • NPI 1235633603
  NPD (past)

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514851200000",
    "number": "1215938121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19024 POND FORK ROAD",
            "address_2": "PO BOX 450",
            "city": "VAN",
            "state": "WV",
            "postal_code": "25206",
            "telephone_number": "304-245-8255",
            "fax_number": "304-245-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19024 POND FORK ROAD",
            "city": "VAN",
            "state": "WV",
            "postal_code": "25206",
            "telephone_number": "304-245-8255",
            "fax_number": "304-245-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2018-01-02",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "ANITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-245-8255",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia McCarty Glenn
• Angela Michelle Jarrell
• Lincoln County Primary Care Center Inc (Van Elementary Health Center)
• Lincoln County Primary Care Center Inc (Van Junior/Senior High Health Center)
• Joey N Smith, RPH
• Danny White

• Community/Retail Pharmacy in Van, WV
• Providers in Van, 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 Jan 2, 2018; 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.