Organization Active NPI

Davis Memorial Hospital

Doing business as Health Center Pharmacy

  • Community/Retail Pharmacy
  • Elkins, WV
National Provider Identifier
1700663226
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DAVIS MEMORIAL HOSPITAL
Doing business as
Health Center Pharmacy
Practice address
812 Gorman Ave
Elkins, WV 26241-3181
Phone
(304) 636-6767
NPI assigned
Sep 8, 2023
Last updated
May 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
William Lloyd Koch
Title
Cfo
Phone
(304) 637-3196

Specialties & licenses 2

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

Addresses

Primary practice location

812 Gorman Ave
Elkins, WV 26241-3181

Mailing address

PO Box 1484
Elkins, WV 26241-1484
Phone (304) 636-6767

Other names 1

  • Health Center Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
John S Veach MD5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13682 Appalachian Hwy
#259
Davis, WV 26260
Phone (304) 259-7828

15 Ferree Rd
Elkins, WV 26241
Phone (304) 636-4585

911 Gorman Ave
Ste 103
Elkins, WV 26241
Phone (304) 637-9302

911 Gorman Ave
Ste 301
Elkins, WV 26241
Phone (304) 637-3650

149 Ivy Ln
Parsons, WV 26287
Phone (304) 478-2319

Practitioners & affiliated clinicians

Practitioners 234

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.

View all 234

NPI Registry JSON

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1700663226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1484",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262411484",
            "telephone_number": "304-636-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 GORMAN AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413181",
            "telephone_number": "304-636-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-08",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "304-637-3196"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 7, 2024; 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.