Active NPI
Eric Bardine Belldina, RPH, MS
- Pharmacist
- Masontown, WV
National Provider Identifier
1598778227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- WV 5073
- Practice address
- 303 Main Street
Masontown, WV 26542-0112 - Phone
- (304) 864-4000
- Fax
- (304) 864-3727
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | WV 5073 | WV | Primary |
Addresses
Primary practice location
303 Main Street
Masontown, WV 26542-0112
Mailing address
PO Box 112
Masontown, WV 26542-0112
Phone (304) 864-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WV5073 | Other | WV | PHARMACIST LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WV 5073 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 4 Guyz LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Kingwood, WV
- NPI 1508277021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598778227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 112",
"city": "MASONTOWN",
"state": "WV",
"postal_code": "265420112",
"telephone_number": "304-864-4000",
"fax_number": "304-864-3727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 MAIN STREET",
"city": "MASONTOWN",
"state": "WV",
"postal_code": "265420112",
"telephone_number": "304-864-4000",
"fax_number": "304-864-3727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLDINA",
"first_name": "ERIC",
"middle_name": "BARDINE",
"credential": "RPH, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "WV 5073",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "WV5073",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Masontown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.