Active NPI
Uniqcare Pharmacy
- Long Term Care Pharmacy
- Hurricane, WV
National Provider Identifier
1407290224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- UNIQCARE PHARMACY
- Practice address
- 3538 Teays Valley Rd
Hurricane, WV 25526-9054 - Phone
- (888) 698-4908
- Fax
- (888) 808-0795
- NPI assigned
- Apr 23, 2013
- Last updated
- Apr 23, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael James Ebbert, R.PH.
- Title
- Pharmacy Manager / Owner
- Phone
- (304) 553-5716
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | NU | Primary |
Addresses
Primary practice location
3538 Teays Valley Rd
Hurricane, WV 25526-9054
Mailing address
3538 Teays Valley Rd
Hurricane, WV 25526-9054
Phone (888) 698-4908
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210304002840 | WV | Part B Supplier - Mass Immunization (Roster Biller Only) | 2062828635 | Practice locations: Elkins, WV; Scott Depot, WV; Hurricane, WV; Harrisville, WV; Huntington, WV |
National Provider Directory
National Provider DirectoryLocations
3538 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 212-7207
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Pharmacist
- Hurricane, WV
- NPI 1780029876
-
- Podiatrist
- Barboursville, WV
- NPI 1962418921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366675200000",
"number": "1407290224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3538 TEAYS VALLEY RD",
"city": "HURRICANE",
"state": "WV",
"postal_code": "255269054",
"telephone_number": "888-698-4908",
"fax_number": "888-808-0795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3538 TEAYS VALLEY RD",
"city": "HURRICANE",
"state": "WV",
"postal_code": "255269054",
"telephone_number": "888-698-4908",
"fax_number": "888-808-0795"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIQCARE PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-23",
"last_updated": "2013-04-23",
"status": "A",
"authorized_official_last_name": "EBBERT",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "PHARMACY MANAGER / OWNER",
"authorized_official_telephone_number": "304-553-5716",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hurricane, WV
- True Vine LLC
- Jeffrey Scott Trump, MD
- Kristi Tucker
- Elizabeth Ann Tuell, MA CCC-SLP
- Sarah Turner, FNP
- Kelsey Nicole Unroe
- Urgent Care, Inc. - West Virginia (Urgent Care, Inc. - West Virginia Teays Valley)
- Vain 304 Hydration and Wellness
- Valley Counseling and Consulting LLC
- Valley Health Systems Inc (Valley Health Hurricane)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.