Jan L Roop, R.PH.
Individual provider Active NPI Pharmacist · Glen Daniel, WV
NPI 1295055259 · NPPES record last updated Jun 1, 2010
Key facts
- NPI
- 1295055259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5016 (WV)
- Practice address
- 7255 Harper Rd.
Glen Daniel, WV 25844 - Phone
- (304) 934-5327
- NPI assigned
- Jun 1, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5016 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Country Roads Pharmacy Inc | Pharmacist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5016 | WV | Yes |
Addresses
Primary practice location
7255 Harper Rd.
Glen Daniel, WV 25844
Mailing address
105 Hawksbury Trce
Beckley, WV 25801-2368
Other providers in Glen Daniel, WV
- Joanna Carol Pettry
- Debra Gail Pope
- Amy Joy Prado
- Franklin Rhodes
- Rose Rhodes
- Pamela Renae Sadzewicz
- Sandra Scott
- Ralph Edward Simms Sr.
- Ryan Thacker
- Teresa C. Thompson
All providers in Glen Daniel, WV · Pharmacist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.