Active NPI
Michael Jeffrey Dyer, PHARMD
- Pharmacist
- Fairmont, WV
National Provider Identifier
1447865738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0007158
- Practice address
- 300 Fairmont Ave
Fairmont, WV 26554-2713 - Phone
- (304) 366-6182
- Fax
- (304) 363-6389
- NPI assigned
- Sep 13, 2020
- Last updated
- Sep 13, 2020
- Sex
- Male
- Sole proprietor
- No
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 | RP0007158 | WV | Primary |
Addresses
Primary practice location
300 Fairmont Ave
Fairmont, WV 26554-2713
Mailing address
445 Civitan St
Morgantown, WV 26505-2203
Phone (304) 276-1898
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 |
|---|---|---|---|
| RP0007158 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia CVS Pharmacy LLC | Past | Accepting new patients | |
| West Virginia CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599955200000",
"number": "1447865738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 CIVITAN ST",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265052203",
"telephone_number": "304-276-1898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 FAIRMONT AVE",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265542713",
"telephone_number": "304-366-6182",
"fax_number": "304-363-6389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYER",
"first_name": "MICHAEL",
"middle_name": "JEFFREY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-13",
"last_updated": "2020-09-13",
"certification_date": "2020-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0007158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.