Phillips Pharmacy Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

PHILLIPS PHARMACY INC.

Doing business as

Phillips Pharmacy

Practice address

329 2ND St
Saint Marys, WV 26170-1005

Phone

(304) 684-3784

Fax

(304) 684-2358

NPI assigned

Jul 20, 2005

Last updated

Mar 3, 2022By 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

Troy Winland

Title

President/Owner

Phone

(304) 684-3888

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Phillips Pharmacy Doing business as

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

Locations

Practitioners 2

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.

• Andy S Auxier

  • Pharmacist
  • Saint Marys, WV
  • NPI 1972600690
  NPD (past)
• David Wetherell Forrer

  • Pharmacist
  • Saint Marys, WV
  • NPI 1699155481
  NPD (past)

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1225037260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1",
            "city": "SAINT MARYS",
            "state": "WV",
            "postal_code": "261700001",
            "telephone_number": "304-684-3784",
            "fax_number": "304-684-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 2ND ST",
            "city": "SAINT MARYS",
            "state": "WV",
            "postal_code": "261701005",
            "telephone_number": "304-684-3784",
            "fax_number": "304-684-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "WINLAND",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "304-684-3888"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0142222000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phillips Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holly Dawn Moore, RN
• Kendal Neill, NP
• Abigail Faith Peckens
• Janet Sue Peckens
• Stacy Peckens
• Piece by Piece, LLC
• Pleasants County Board of Education
• Pleasants County Board of Education
• Pleasants County Emergency Ambulance Authority
• Racheal Ann Poinsett, LPN

• Pharmacy in Saint Marys, WV
• Providers in Saint Marys, WV by specialty
• Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.