Michels Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · West Union, WV
NPI 1497797724 · NPPES record last updated Feb 5, 2025
Key facts
- NPI
- 1497797724
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- SP0550825 (WV)
- Legal business name
- 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
- Organization subpart
- No
Authorized official
- Name
- Daniel Rock
- Title
- President
- Phone
- (304) 873-1010
Practitioners 1
-
David Christopher Mitchell, PHARM D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D1041695 | Michels Pharmacy Inc | Certificate of waiver | Jun 8, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Michels Pharmacy Inc |
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 assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | SP0550825 | WV | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013955000 | Medicaid | WV | |
| 2109497 | Other | PK |
Other names
- MICHELS PHARMACY INC
Other providers in West Union, WV
- Stephanie McCombs
- Shania McCullough
- Kayla McKinney
- Linda McKinney
- Jennifer Merritt
- Shelby Miracle
- David Christopher Mitchell
- Toni Moneypenny
- Deborah Montoya
- Kimberely Moore
All providers in West Union, WV · Community/Retail Pharmacy 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 Feb 5, 2025. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.