Tug Valley Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

TUG VALLEY PHARMACY LLC

Practice address

54 W 2ND Ave
Williamson, WV 25661-3506

Phone

(304) 235-8080

Fax

(304) 235-1699

NPI assigned

Jul 31, 2007

Organization subpart

No

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

Authorized official

Name

Samuel Randolph Ballengee, PHARMD

Title

President/Owner

Phone

(304) 235-8080

Specialties & licenses 1

Addresses

Other names 1

• tug valley pharmacy Doing business as

Locations

Practitioners 1

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

• Nikki Mae Vance

  • Counselor
  • Charleston, WV
  • NPI 1508505801
  NPD

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1336339704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 538",
            "city": "WILLIAMSON",
            "state": "WV",
            "postal_code": "256610538",
            "telephone_number": "304-235-0080",
            "fax_number": "304-235-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 W 2ND AVE",
            "city": "WILLIAMSON",
            "state": "WV",
            "postal_code": "256613506",
            "telephone_number": "304-235-8080",
            "fax_number": "304-235-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUG VALLEY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "BALLENGEE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "RANDOLPH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "304-235-8080",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "tug valley pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theresa Tomsovic
• Kandice Alicia Trejo, NA
• Vanessa Trent
• Trinity Health Care Services of Mingo Inc
• Tug Valley Digestive Disorder Center Inc
• Tug Valley Wellness Center, LLC
• Stancy Turner
• Kimberly Lynn Vaance
• Sandra Leigh Vance-Perkins
• Katelynn Vance

• Community/Retail Pharmacy in Williamson, WV
• Providers in Williamson, WV by specialty
• Community/Retail Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.