West Virginia CVS Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

MP0552304 Issued in WV

Legal business name

WEST VIRGINIA CVS PHARMACY LLC

Doing business as

CVS Pharmacy #01429

Practice address

1200 Edwin Miller Blvd
Martinsburg, WV 25404-3702

Phone

(304) 263-4951

NPI assigned

Sep 12, 2006

Last updated

Mar 8, 2012By 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

Susan Colbert

Title

Dir Phcy Enrollments

Phone

(401) 770-2751

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• CVS PHARMACY #01429 Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member of 1

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

• CVS Pharmacy Inc.

  dba CVS Pharmacy #17247

  • Pharmacy
  • North Dartmouth, MA
  • NPI 1831271071

  Member Of

  NPD member

Locations

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.

• Heather Renee Barrett, CPHT

  • Pharmacy Technician
  • Martinsburg, WV
  • NPI 1750968467
  NPD (past)
• Scott Fincham, PHARM D

  • Pharmacist
  • Martinsburg, WV
  • NPI 1275148330
  NPD (past)
• Kendra Nicholson Fox, PHARM.D.

  • Pharmacist
  • Martinsburg, WV
  • NPI 1750780383
  NPD (past)
• Jenny Lyn Kimmel, PHARMD

  • Pharmacist
  • Martinsburg, WV
  • NPI 1366057739
  NPD (past)
• Kaleigh Anne Meyers, RPH

  • Pharmacist
  • Martinsburg, WV
  • NPI 1811789092
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1407950181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "PO BOX 1075 - PHARMACY ENROLLMENTS",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 EDWIN MILLER BLVD",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254043702",
            "telephone_number": "304-263-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VIRGINIA CVS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "DIR PHCY ENROLLMENTS",
        "authorized_official_telephone_number": "401-770-2751"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WV",
            "license": "MP0552304",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5000170",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY #01429",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Wermers, NP
• Dennis J Wert, PA-C
• Janis B Wertman, RN
• Lindsey R Wertz
• West Virginia CVS Pharmacy LLC (Target Pharmacy)
• West Virginia Home Health LLC
• West Virginia University Medical Corporation
• West Virginia University Medical Corporation
• West Virginia University Medical Corporation
• West Virginia University Medical Corporation

• Pharmacy in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.