Loop Plaza Pharmacy Co Inc

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

MP0550920 Issued in WV

Legal business name

LOOP PLAZA PHARMACY CO INC

Doing business as

LOOP COMPOUNDING PHARMACY

Practice address

4918 Maccorkle Ave SE
Charleston, WV 25304-2052

Phone

(304) 720-7866

Fax

(304) 720-7868

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

William McFarland, RPH

Title

Owner

Phone

(304) 720-7867

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• LOOP COMPOUNDING PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1285793281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251770480",
            "telephone_number": "304-722-2233",
            "fax_number": "304-727-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4918 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042052",
            "telephone_number": "304-720-7866",
            "fax_number": "304-720-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOP PLAZA PHARMACY CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "MCFARLAND",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-720-7867",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "WV",
            "license": "MP0550920",
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810007930",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5054426",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOOP COMPOUNDING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Mynette Long, DDS
• Savannah Long
• Nancy J Longworth
• Christy Lonkert
• Tracy Looney
• Amie Nicole Lopez Smith, APRN, NP-C
• Jamie Lopez
• Loretta Lopez
• Sebastian Lopez, DO
• Anne Lopinsky

• Compounding Pharmacy in Charleston, WV
• Providers in Charleston, WV by specialty
• Compounding Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.