Rebecca J Altizer, R PH
Individual provider Active NPI Pharmacist · Summersville, WV
NPI 1497951040 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497951040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP0005209 (WV)
- Practice address
- 421 Main St
Summersville, WV 26651-1343 - Phone
- (304) 872-2777
- Fax
- (304) 872-6644
- NPI assigned
- Jun 21, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP0005209 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicholas Pharmacy Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0005209 | WV | Yes |
Addresses
Primary practice location
421 Main St
Summersville, WV 26651-1343
Mailing address
421 Main St
Summersville, WV 26651-1343
Phone (304) 872-2777
Other providers in Summersville, WV
- Rameesa Ahmed
- Julie Ann Alderman
- Mary Alderman
- Nicholas Alderman
- All Med, LLC
- Karrie Jo Amick
- Kelly Elizabeth Amick
- Jeremiah Anderson
- Laura Ann Arbaugh
- Melissa Arbogast
All providers in Summersville, WV · Pharmacist 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 Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.