Organization Active NPI

Medicine Shoppe Pharmacy

  • Community/Retail Pharmacy
  • Elkins, WV
National Provider Identifier
1558455865
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MEDICINE SHOPPE PHARMACY
Practice address
1513 Harrison Ave
Elkins, WV 26241-3356
Phone
(304) 637-4500
Fax
(304) 637-4602
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Susan Guinn
Title
Billing Spec
Phone
(314) 993-6000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X MP0551264 WV
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1513 Harrison Ave
Elkins, WV 26241-3356

Mailing address

1513 Harrison Ave
Elkins, WV 26241-3356

Other identifiers 1

IdentifierTypeStateIssuer
5010765OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory

Locations

1513 Harrison Ave
Elkins, WV 26241
Phone (304) 276-2783

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1558455865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 HARRISON AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 HARRISON AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413356",
            "telephone_number": "304-637-4500",
            "fax_number": "304-637-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE SHOPPE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GUINN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "BILLING SPEC",
        "authorized_official_telephone_number": "314-993-6000"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WV",
            "license": "MP0551264",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5010765",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.