Organization Active NPI

Ritchie Community Pharmacy, LLC

  • Community/Retail Pharmacy
  • Harrisville, WV
National Provider Identifier
1245831601
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RITCHIE COMMUNITY PHARMACY, LLC
Practice address
138 Cherry St
Harrisville, WV 26362
Phone
(304) 643-2900
NPI assigned
Nov 3, 2020
Last updated
Jan 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
Lea Ann Phares, RPHNPI 1356649297
Title
Co-Owner
Phone
(304) 904-1980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

138 Cherry St
Harrisville, WV 26362

Mailing address

407 Spruce Run Rd
Glenville, WV 26351-8145
Phone (304) 904-1980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210212000428 WV Part B Supplier - Pharmacy 1557776176 Practice locations: Harrisville, WV
O20210726001412 WV Part B Supplier - Mass Immunization (Roster Biller Only) 1557776176 Practice locations: Harrisville, WV

National Provider Directory

National Provider Directory

Locations

138 Cherry St
Harrisville, WV 26362
Phone (304) 406-2600

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1245831601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 SPRUCE RUN RD",
            "city": "GLENVILLE",
            "state": "WV",
            "postal_code": "263518145",
            "telephone_number": "304-904-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 CHERRY ST",
            "city": "HARRISVILLE",
            "state": "WV",
            "postal_code": "26362",
            "telephone_number": "304-643-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITCHIE COMMUNITY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "PHARES",
        "authorized_official_first_name": "LEA ANN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "304-904-1980",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.