NPIMap

Organization Active NPI

Recovery Care LLC

Doing business as Care Pharmacy

  • Community/Retail Pharmacy
  • Keyser, WV
National Provider Identifier
1730777178
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RECOVERY CARE LLC
Doing business as
Care Pharmacy
Practice address
87 Carroll Ave
Keyser, WV 26726-5022
Phone
(304) 790-7467
NPI assigned
Dec 31, 2020
Last updated
Jul 9, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
RECOVERY CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Authorized official

Name
Heather Lynn Rosen, MD
Title
Ceo
Phone
(855) 502-2273

Specialties & licenses 1

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

Addresses

Primary practice location

87 Carroll Ave
Keyser, WV 26726-5022

Mailing address

87 Carroll Ave
Keyser, WV 26726-5022

Other identifiers 1

IdentifierTypeStateIssuer
1730777178MedicaidWV

Other names 1

  • Care Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210309000981 WV Part B Supplier - Pharmacy 2062799935 Practice locations: Keyser, WV

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Recovery Care6 organizations share this tax ID, including this one
Part of
Recovery Care

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1730777178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 CARROLL AVE",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267265022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 CARROLL AVE",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267265022",
            "telephone_number": "304-790-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RECOVERY CARE LLC",
        "enumeration_date": "2020-12-31",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "855-502-2273",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730777178",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Keyser, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.