CVS/Pharmacy

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CVS/PHARMACY

Doing business as

1308

Practice address

46 Middleway Pike
Inwood, WV 25428-3713

Phone

(304) 229-4318

Fax

(304) 229-1794

NPI assigned

Jan 26, 2015

Last updated

Jan 26, 2015By 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

Mr. Glenn C Mann Jr., DM

Title

District Manager

Phone

(700) 600-1524

Specialties & licenses 1

Addresses

Other names 1

• 1308 Doing business as

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1225428568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 MIDDLEWAY PIKE",
            "city": "INWOOD",
            "state": "WV",
            "postal_code": "254283713",
            "telephone_number": "304-229-4318",
            "fax_number": "304-229-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 MIDDLEWAY PIKE",
            "city": "INWOOD",
            "state": "WV",
            "postal_code": "254283713",
            "telephone_number": "304-229-4318",
            "fax_number": "304-229-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS/PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DISTRICT MANAGER",
        "authorized_official_telephone_number": "700-600-1524",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DM"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1308",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raven Casiano
• Katie Catlett
• Melissa Renee Caton, DPT
• Courtney A Chapman, LPC, NCC, CCTP
• Compass Physical Therapy, LLC
• Daniel Bonner
• Rachel Rhiannon Davis, LICSW
• Emily Dehaven, PTA
• Brittney Justine Demarco
• Susan Carol Dixon, MS CCC SLP

• Clinic/Center in Inwood, WV
• Providers in Inwood, WV by specialty
• Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.