Lori Spatafore, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

00006236 Issued in WV

Practice address

460 E Main St
Bridgeport, WV 26330-1847

Phone

(304) 848-9500

Fax

(304) 848-9503

NPI assigned

Apr 6, 2021

Last updated

Apr 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

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.

• Willo Group

  dba Bridgeport Family Pharmacy

  • Community/Retail Pharmacy
  • Bridgeport, WV
  • NPI 1396176756
  NPD Authorized official
• Victory Pharmacy LLC

  • Community/Retail Pharmacy
  • Clarksburg, WV
  • NPI 1285358333
  NPD

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1235718214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 E MAIN ST",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301847",
            "telephone_number": "304-848-9500",
            "fax_number": "304-848-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 E MAIN ST",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301847",
            "telephone_number": "304-848-9500",
            "fax_number": "304-848-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPATAFORE",
        "first_name": "LORI",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "00006236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lori@bridgeportfamilyrx.com",
            "affiliation": "N",
            "endpointDescription": "professional email",
            "address_1": "460 E Main St",
            "city": "Bridgeport",
            "state": "WV",
            "country_code": "US",
            "postal_code": "263301847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melanie D. Soule, NP
• Sound Mind Therapeutic Center, LLC
• Jasmine Necole Southern
• Andrew E Spatafore, MPT
• Jack Anthony Spatafore, DPT/MS
• Alexanjreah Sheyenne Spears
• Valerie Speller, CRNA
• Courtnie Danielle Spencer, LMT
• Sydney Belle Spiker
• Hannah E. Squires

• Pharmacist in Bridgeport, WV
• Providers in Bridgeport, WV by specialty
• Pharmacist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.