NPIMap

Organization Active NPI

Camc Greenbrier Valley Medical Center, Inc.

  • Community/Retail Pharmacy
  • Ronceverte, WV
National Provider Identifier
1245047232
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CAMC GREENBRIER VALLEY MEDICAL CENTER, INC.
Practice address
1322 Maplewood Ave
Ronceverte, WV 24970-8016
Phone
(304) 648-6006
NPI assigned
Dec 13, 2024
Organization subpart
Yes
Parent organization
CAMC GREENBRIER VALLEY MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Authorized official

Name
Brandi White
Title
Provider Enrollment Manager
Phone
(304) 388-0266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1322 Maplewood Ave
Ronceverte, WV 24970-8016

Mailing address

400 Association Dr Ste 102
Charleston, WV 25311-1298
Phone (304) 388-0266

Other names 1

  • Vandalia Pharmacy #6 GVMC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Camc Greenbrier Valley Medical Center Inc4 organizations share this tax ID, including this one
Part of
Camc Greenbrier Valley Medical Center Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1245047232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ASSOCIATION DR STE 102",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253111298",
            "telephone_number": "304-388-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 MAPLEWOOD AVE",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249708016",
            "telephone_number": "304-648-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMC GREENBRIER VALLEY MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAMC GREENBRIER VALLEY MEDICAL CENTER, INC.",
        "enumeration_date": "2024-12-13",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT MANAGER",
        "authorized_official_telephone_number": "304-388-0266"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vandalia Pharmacy #6 GVMC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vandalia Pharmacy #6 GVMC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ronceverte, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.