Organization Active NPI

Health Facilities Inc

Doing business as Community Care Pharmacy

  • Community/Retail Pharmacy
  • Parsons, WV
National Provider Identifier
1326064288
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
SP0552328 Issued in WV
Legal business name
HEALTH FACILITIES INC
Doing business as
Community Care Pharmacy
Practice address
149 Ivy LN
Parsons, WV 26287-1337
Phone
(304) 478-2319
Fax
(304) 478-2532
NPI assigned
Jul 14, 2006
Last updated
Sep 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Authorized official

Name
Amanda Smith, BS
Title
Pharmacy Director
Phone
(304) 478-2319

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X SP0552328 WV Primary

Addresses

Primary practice location

149 Ivy LN
Parsons, WV 26287-1337

Mailing address

149 Ivy LN
Parsons, WV 26287-1337
Phone (304) 478-2319

Other identifiers 2

IdentifierTypeStateIssuer
2111574OtherPK
3810004452MedicaidWV

Other names 1

  • COMMUNITY CARE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181127000158 WV Part B Supplier - Mass Immunization (Roster Biller Only) 4789625674 Practice locations: Davis, WV

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

13682 Appalachian Hwy
Davis, WV 26260
Phone (304) 259-7828

425 Davis Ave
Elkins, WV 26241
Phone (304) 636-5612

46 Town Center Plz
Mill Creek, WV 26280
Phone (304) 335-6005

149 Ivy Ln
Parsons, WV 26287
Phone (304) 478-2319

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1326064288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 IVY LN",
            "city": "PARSONS",
            "state": "WV",
            "postal_code": "262871337",
            "telephone_number": "304-478-2319",
            "fax_number": "304-478-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 IVY LN",
            "city": "PARSONS",
            "state": "WV",
            "postal_code": "262871337",
            "telephone_number": "304-478-2319",
            "fax_number": "304-478-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH FACILITIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "304-478-2319",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0552328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2111574",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004452",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parsons, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.