Village Long Term Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

OP0552220 Issued in WV

Legal business name

VILLAGE LONG TERM PHARMACY LLC

Practice address

204 Three Springs Dr
Suite B
Weirton, WV 26062-3815

Phone

(304) 723-2528

Fax

(304) 723-2540

NPI assigned

Jul 10, 2015

Last updated

Oct 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patsy V LonghiNPI 1376665232

Title

Owner

Phone

(304) 723-2528

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Village Long Term Care Pharmacy Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WV2 enrollments

Enrollment records 2

Locations

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.

• Patsy V Longhi, RPH

  • Pharmacist
  • Weirton, WV
  • NPI 1376665232
  NPD Authorized official

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1639553464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 THREE SPRINGS DR",
            "address_2": "SUITE B",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260623815",
            "telephone_number": "304-723-2528",
            "fax_number": "855-933-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 THREE SPRINGS DR",
            "address_2": "SUITE B",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260623815",
            "telephone_number": "304-723-2528",
            "fax_number": "304-723-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE LONG TERM PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "LONGHI",
        "authorized_official_first_name": "PATSY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-723-2528"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WV",
            "license": "OP0552220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145692",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153229",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3910007162",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tel:8559332703",
            "affiliation": "N",
            "endpointDescription": "fax",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "204 Three Springs Dr",
            "address_2": "Suite B",
            "city": "Weirton",
            "state": "WV",
            "country_code": "US",
            "postal_code": "260623815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Village Long Term Care Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anna Deborah Van Kirk, NP
• Frances Ileen Vaughn
• Litizia Ida Veltri
• Kathleen Sabo Viglianco, L.P.C.
• Michael J Vignovich, PA-C
• Curt Alan Virtue, RPH
• Tejaswi Voladri, MD
• Michele Volhl
• Christine Vrtar
• Alexis Vuiller, LPT

• Long Term Care Pharmacy in Weirton, WV
• Providers in Weirton, WV by specialty
• Long Term Care Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.