Rebecca Raelynn McClung, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

0009413 Issued in WV

Practice address

307 5TH St
New Haven, WV 25265-4100

Phone

(304) 882-2005

Fax

(304) 882-2281

NPI assigned

May 13, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Rebecca Raelynn Grimm Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• New Haven RX LLC

  • Community/Retail Pharmacy
  • New Haven, WV
  • NPI 1336856988
  NPD
• Rite Aid of Ohio Inc

  • Community/Retail Pharmacy
  • Pomeroy, OH
  • NPI 1740296052
  NPD (past)

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1689020109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 186",
            "city": "NEW HAVEN",
            "state": "WV",
            "postal_code": "252650186",
            "telephone_number": "304-882-2005",
            "fax_number": "304-882-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 5TH ST",
            "city": "NEW HAVEN",
            "state": "WV",
            "postal_code": "252654100",
            "telephone_number": "304-882-2005",
            "fax_number": "304-882-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLUNG",
        "first_name": "REBECCA",
        "middle_name": "RAELYNN",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-13",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03135299",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "0009413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "GRIMM",
            "middle_name": "RAELYNN",
            "credential": "PHARM D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tyler Hill
• Letha Jones
• Joseph Bradley King
• Shawn Allen King
• James Durward Lockhart, D.D.S.
• Kathy Diane McGuire
• Katrina McGuire
• John David Morgan, RPH
• New Haven Health-Aid Pharmacy LLC
• New Haven Pharmacy LLC

• Pharmacist in New Haven, WV
• Providers in New Haven, WV by specialty
• Pharmacist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.