Organization Active NPI

Michels Pharmacy Inc

  • Community/Retail Pharmacy
  • West Union, WV
National Provider Identifier
1497797724
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
SP0550825 Issued in WV
Legal business name
MICHELS PHARMACY INC
Doing business as
Michels Pharmacy Inc
Practice address
224 Main St
West Union, WV 26456-2094
Phone
(304) 873-1010
Fax
(304) 973-2446
NPI assigned
Jun 12, 2006
Last updated
Feb 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Daniel Rock
Title
President
Phone
(304) 873-1010

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X SP0550825 WV Primary

Addresses

Primary practice location

224 Main St
West Union, WV 26456-2094

Mailing address

224 Main St
West Union, WV 26456-2094
Phone (304) 873-1010

Other identifiers 2

IdentifierTypeStateIssuer
013955000MedicaidWV
2109497OtherPK

Other names 1

  • MICHELS PHARMACY INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091030000185 WV Part B Supplier - Mass Immunization (Roster Biller Only) 5597802140 Practice locations: West Union, WV
O20100930089807 WV DME Supplier - Pharmacy 5597802140 Practice locations: West Union, WV

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D1041695Michels Pharmacy Inc224 Main Street, West Union, WV 26456Certificate of waiverJun 8, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Michels Pharmacy Inc224 Main St, West Union, WV 26456-2069(304) 873-1010 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies|Nebulizer Equipment and/or Supplies|Surgical Dressings Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1497797724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 MAIN ST",
            "city": "WEST UNION",
            "state": "WV",
            "postal_code": "264562094",
            "telephone_number": "304-873-1010",
            "fax_number": "304-973-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 MAIN ST",
            "city": "WEST UNION",
            "state": "WV",
            "postal_code": "264562094",
            "telephone_number": "304-873-1010",
            "fax_number": "304-973-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "ROCK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-873-1010"
    },
    "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": "SP0550825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013955000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2109497",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MICHELS PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Union, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.