Clay Family Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

SP0552454 Issued in WV

Legal business name

CLAY FAMILY PHARMACY LLC

Practice address

2000 Main Street
Clay, WV 25043

Phone

(304) 587-2123

Fax

(304) 587-2140

NPI assigned

May 20, 2013

Last updated

May 25, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brandon KeiperNPI 1407146970

Title

Pharmacy Manager

Phone

(304) 619-3518

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Practitioners 1

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.

• Brandon Scott Keiper, PHARM D

  • Pharmacist
  • Craigsville, WV
  • NPI 1407146970
  NPD Authorized official

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527206400000",
    "number": "1346686169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 966",
            "city": "CLAY",
            "state": "WV",
            "postal_code": "250430966",
            "telephone_number": "304-587-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MAIN STREET",
            "city": "CLAY",
            "state": "WV",
            "postal_code": "25043",
            "telephone_number": "304-587-2123",
            "fax_number": "304-587-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2018-05-25",
        "status": "A",
        "authorized_official_last_name": "KEIPER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "304-619-3518"
    },
    "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": "SP0552454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140533",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clay County Development Corporation
• Clay County Emergency Ambulance
• Clay County Health Department
• Clay County Schools
• Clay County Schools
• Clay Rural Medical Clinic PLLC
• Clay Supermarket Inc (Clay Foodland Pharmacy)
• Christopher Paul Claypool
• Drema Karroll Clifton
• Daniel Matthew Coleman

• Community/Retail Pharmacy in Clay, WV
• Providers in Clay, 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 May 25, 2018; 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.