Jarrells Pharmacy Inc
Organization Active NPI Durable Medical Equipment & Medical Supplies · Daniels, WV
NPI 1417138462 · NPPES record last updated May 19, 2011
Key facts
- NPI
- 1417138462
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- JARRELLS PHARMACY INC
- Practice address
- 2122 Ritter Dr
Daniels, WV 25832-9372 - Phone
- (304) 763-2442
- Fax
- (304) 763-4230
- NPI assigned
- Nov 19, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- JARRELLS PHARMACY INC
Authorized official
- Name
- Doug Jarrell
- Title
- President
- Phone
- (304) 763-2442
Parent organization (reported in NPPES) 1
Other NPIs on the same Medicare enrollment 1
Practitioners 1
-
Cynthia Walker, RPH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930027983 | WV | DME Supplier - Pharmacy | 9032230628 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Daniels, WV |
National Provider Directory
- Part of
- Jarrells Pharmacy Inc
Locations
2122 Ritter Dr
Daniels, WV 25832
Phone (304) 763-2442
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
2122 Ritter Dr
Daniels, WV 25832-9372
Mailing address
PO Box 2027
Shady Spring, WV 25918-2027
Phone (304) 763-2442
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0139196000 | Medicaid | WV |
Other providers in Daniels, WV
- Annette Dawn Houck
- Tracy Houck
- Carrie Hudson
- Sadia Irfan
- Kristina James
- Jarrells Pharmacy Inc
- David Scott Kendrick
- Donna Kidwell
- Angela Lynn Kincaid
- Michael Merritt Kostenko
All providers in Daniels, WV · Durable Medical Equipment & Medical Supplies in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.