Active NPI
Jordan Kyle Villani, PHARM.D.
- Pharmacist
- Wheeling, WV
National Provider Identifier
1386086924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0008146
- Practice address
- 200 Mount Dechantal Road
Wheeling, WV 26003 - Phone
- (304) 233-5485
- Fax
- (304) 233-5488
- NPI assigned
- Jul 24, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0008146 | WV | Primary |
Addresses
Primary practice location
200 Mount Dechantal Road
Wheeling, WV 26003
Mailing address
200 Mount Dechantal Road
Wheeling, WV 26003
Phone (304) 233-5485
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP0008146 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kroger Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Wheeling, WV
- NPI 1245264035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374624000000",
"number": "1386086924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MOUNT DECHANTAL ROAD",
"city": "WHEELING",
"state": "WV",
"postal_code": "26003",
"telephone_number": "304-233-5485",
"fax_number": "304-233-5488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MOUNT DECHANTAL ROAD",
"city": "WHEELING",
"state": "WV",
"postal_code": "26003",
"telephone_number": "304-233-5485",
"fax_number": "304-233-5488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLANI",
"first_name": "JORDAN",
"middle_name": "KYLE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-24",
"last_updated": "2013-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0008146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.