Organization Active NPI

Valley Prescriptions LLC

  • Non-Pharmacy Dispensing Site
  • Wheeling, WV
National Provider Identifier
1679728448
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
2077 Issued in WV
Legal business name
VALLEY PRESCRIPTIONS LLC
Practice address
80 12TH St
Suite 307
Wheeling, WV 26003-3273
Phone
(304) 242-4004
Fax
(304) 242-8004
NPI assigned
Nov 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Dr. Roland F Chalifoux, Jr., D.O.
Title
Owner
Phone
(304) 242-4004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X 2077 WV Primary

Addresses

Primary practice location

80 12TH St
Suite 307
Wheeling, WV 26003-3273

Mailing address

80 12TH St
Suite 307
Wheeling, WV 26003-3273
Phone (304) 242-4004

Other identifiers 2

IdentifierTypeStateIssuer
2625001MedicaidOH
3810004422MedicaidWV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1679728448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 12TH ST",
            "address_2": "SUITE 307",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033273",
            "telephone_number": "304-242-4004",
            "fax_number": "304-242-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 12TH ST",
            "address_2": "SUITE 307",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033273",
            "telephone_number": "304-242-4004",
            "fax_number": "304-242-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PRESCRIPTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "CHALIFOUX,",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-242-4004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "WV",
            "license": "2077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2625001",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004422",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.