Donald Troy Blum

Primary specialty

PharmacistTaxonomy code 183500000X

License

00005735 Issued in WV

Practice address

201 Maccorkle Avenue
St. Albans, WV 25177

Phone

(304) 722-3335

NPI assigned

Oct 5, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• West Virginia CVS Pharmacy LLC

  • Pharmacy
  • Hurricane, WV
  • NPI 1023791787
  NPD (past)
• West Virginia CVS Pharmacy LLC

  • Pharmacy
  • Saint Albans, WV
  • NPI 1144323890
  NPD (past)

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1245837012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 CROWN POINT DRIVE",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "25526",
            "telephone_number": "130-494-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MACCORKLE AVENUE",
            "city": "ST. ALBANS",
            "state": "WV",
            "postal_code": "25177",
            "telephone_number": "304-722-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "DONALD",
        "middle_name": "TROY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "00005735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deva Black
• Sharon Blanchard
• Robert Michael Blankenship
• Teresa Robin Blankenship
• Michaela Blizzard
• Kimberly Bogle
• Teara Boles
• Melinda Sue Booker
• Justin Boswell
• Kacee Brabb, LGSW

• Pharmacist in St. Albans, WV
• Providers in St. Albans, WV by specialty
• Pharmacist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.