Pleasant Valley Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

SP0552341 Issued in WV

Legal business name

PLEASANT VALLEY PHARMACY

Doing business as

Pleasant Valley Pharmacy

Practice address

49 Vip Way
Fairmont, WV 26554

Phone

(304) 366-3145

Fax

(304) 363-8485

NPI assigned

Sep 6, 2006

Organization subpart

No

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

Authorized official

Name

Martin Hoffman, RPH

Title

RX Manager

Phone

(304) 363-0568

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• PLEASANT VALLEY PHARMACY Doing business as

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1437252574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 VIP WAY",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "26554",
            "telephone_number": "304-366-3145",
            "fax_number": "304-363-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 VIP WAY",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "26554",
            "telephone_number": "304-366-3145",
            "fax_number": "304-363-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT VALLEY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "RX MANAGER",
        "authorized_official_telephone_number": "304-363-0568",
        "authorized_official_credential": "RPH"
    },
    "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": "SP0552341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810006802",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2111586",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLEASANT VALLEY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pierpoint Center at Fairmont Campus Opco, LLC
• Emily Nichole Piett, COTA/L
• Marilyn Anne Pipes, M.S., CCC-SLP
• Brandi Pitcock
• Della A Pitman
• Melissa Kay Plotner, FNP
• Amanda Danielle Poling, APRN FNP-C
• Brianna Poling
• Robert David Polino
• Lance Polius

• Community/Retail Pharmacy in Fairmont, WV
• Providers in Fairmont, 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 Jul 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.