Organization Active NPI

Lambert Drug Store

  • Community/Retail Pharmacy
  • Romney, WV
National Provider Identifier
1295166569
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
SP0552463 Issued in WV
Legal business name
LAMBERT DRUG STORE
Practice address
22630 Northwestern Pike
Romney, WV 26757-6379
Phone
(304) 822-1000
Fax
(304) 822-2423
NPI assigned
Dec 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Authorized official

Name
John Lambert, RPHNPI 1487075420
Title
Owner/Pic
Phone
(304) 822-1000

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X SP0552463 WV Primary

Addresses

Primary practice location

22630 Northwestern Pike
Romney, WV 26757-6379

Mailing address

22630 Northwestern Pike
Romney, WV 26757-6379
Phone (304) 822-1000

Other identifiers 2

IdentifierTypeStateIssuer
3910000586MedicaidWV
2143867OtherPK

Other names 1

  • Lambert Drug Store Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140404001604 WV DME Supplier - Pharmacy 6709018708 Practice locations: Romney, WV
O20141002002491 WV Part B Supplier - Mass Immunization (Roster Biller Only) 6709018708 Practice locations: Romney, WV

National Provider Directory

National Provider Directory

Locations

22630 Northwestern Pike
Romney, WV 26757
Phone (304) 822-1000

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1295166569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22630 NORTHWESTERN PIKE",
            "city": "ROMNEY",
            "state": "WV",
            "postal_code": "267576379",
            "telephone_number": "304-822-1000",
            "fax_number": "304-822-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22630 NORTHWESTERN PIKE",
            "city": "ROMNEY",
            "state": "WV",
            "postal_code": "267576379",
            "telephone_number": "304-822-1000",
            "fax_number": "304-822-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMBERT DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "LAMBERT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "304-822-1000",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0552463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3910000586",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143867",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lambert Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Romney, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.