Active NPI
Gerald S Effland Jr.
- Pharmacist
- Martinsburg, WV
National Provider Identifier
1225376080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0003754
- Practice address
- 134 S Queen St
Martinsburg, WV 25401-3316 - Phone
- (304) 267-8903
- Fax
- (304) 267-9175
- NPI assigned
- Jan 29, 2013
- Last updated
- Jan 29, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0003754 | WV | Primary |
Addresses
Primary practice location
134 S Queen St
Martinsburg, WV 25401-3316
Mailing address
134 S Queen St
Martinsburg, WV 25401-3316
Phone (304) 267-8903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP0003754 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patterson's Drug Store, Inc. | Pharmacist | Past | Accepting new patients |
| Patterson's Drug Store, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Patterson's Drug Store
- Community/Retail Pharmacy
- Martinsburg, WV
- NPI 1053498584
Pharmacist
-
dba Patterson's Drug Store, LTC
- Long Term Care Pharmacy
- Martinsburg, WV
- NPI 1508610205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359417600000",
"number": "1225376080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 S QUEEN ST",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254013316",
"telephone_number": "304-267-8903",
"fax_number": "304-267-9175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 S QUEEN ST",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254013316",
"telephone_number": "304-267-8903",
"fax_number": "304-267-9175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EFFLAND",
"first_name": "GERALD",
"middle_name": "S",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-29",
"last_updated": "2013-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0003754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.