NPIMap

Organization Active NPI

Cabin Creek Health Center Pharmacy

  • Community/Retail Pharmacy
  • Dawes, WV
National Provider Identifier
1265592679
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CABIN CREEK HEALTH CENTER PHARMACY
Doing business as
Cabin Creek Health Center Pharmacy
Practice address
State Route 79 Cabin Creek Road
Dawes, WV 25054-0070
Phone
(304) 595-5065
Fax
(304) 595-2936
NPI assigned
Dec 8, 2006
Last updated
Jul 16, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CABIN CREEK HEALTH CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
Angela Grace Stone, RPH
Title
Lead Pharmacist
Phone
(681) 205-8730

Specialties & licenses 1

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

Addresses

Primary practice location

State Route 79 Cabin Creek Road
Dawes, WV 25054-0070

Mailing address

104 Alex LN
Charleston, WV 25304-2952
Phone (304) 734-2040

Other identifiers 1

IdentifierTypeStateIssuer
0140322000MedicaidWV

Other names 1

  • Cabin Creek Health Center Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cabin Creek Health Center Pharmacy13 organizations share this tax ID, including this one
Part of
Cabin Creek Health Center Pharmacy

Other organizations with this tax ID 12

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": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1265592679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ALEX LN",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042952",
            "telephone_number": "304-734-2040",
            "fax_number": "304-734-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STATE ROUTE 79 CABIN CREEK ROAD",
            "city": "DAWES",
            "state": "WV",
            "postal_code": "250540070",
            "telephone_number": "304-595-5065",
            "fax_number": "304-595-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABIN CREEK HEALTH CENTER PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CABIN CREEK HEALTH CENTER INC",
        "enumeration_date": "2006-12-08",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "LEAD PHARMACIST",
        "authorized_official_telephone_number": "681-205-8730",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0140322000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cabin Creek Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dawes, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.