New Haven Health-Aid Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

NEW HAVEN HEALTH-AID PHARMACY LLC

Practice address

307 5TH St
New Haven, WV 25265

Phone

(304) 882-2005

NPI assigned

Jul 12, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Tracy Ladawn Clark, CPHT

Title

Human Resources

Phone

(740) 645-4941

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497277339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 5TH ST",
            "city": "NEW HAVEN",
            "state": "WV",
            "postal_code": "252654100",
            "telephone_number": "304-882-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 5TH ST",
            "city": "NEW HAVEN",
            "state": "WV",
            "postal_code": "25265",
            "telephone_number": "304-882-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HAVEN HEALTH-AID PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "LADAWN",
        "authorized_official_title_or_position": "HUMAN RESOURCES",
        "authorized_official_telephone_number": "740-645-4941",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPHT"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Durward Lockhart, D.D.S.
• Rebecca Raelynn McClung, PHARM D
• Kathy Diane McGuire
• Katrina McGuire
• John David Morgan, RPH
• New Haven Pharmacy LLC
• New Haven Pharmacy LLC
• New Haven RX LLC
• New Haven RX LLC
• Lisa Parsons

• Community/Retail Pharmacy in New Haven, WV
• Providers in New Haven, 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 21, 2022; 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.