James David Bartsch, RPH

Individual provider Active NPI Pharmacist · Charleston, WV

NPI 1720121593 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1720121593
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
RP0003231 (WV)
Practice address
3100 Maccorkle Ave SE Ste 100
Charleston, WV 25304-1215
Phone
(304) 344-8021
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP0003231WVMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP0003231 WV Yes

Addresses

Primary practice location

3100 Maccorkle Ave SE Ste 100
Charleston, WV 25304-1215

Mailing address

27 E Coventry Rd
South Charleston, WV 25309-9527
Phone (304) 346-0113

Other providers in Charleston, WV

All providers in Charleston, WV · Pharmacist in West Virginia

Sources for this page

Verify at the official NPI Registry.