Active NPI
Carol A Hoffman
- Pharmacist
- Rivesville, WV
National Provider Identifier
1760578504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0002996
- Practice address
- 426 Main Street
Rivesville, WV 26588 - Phone
- (304) 278-7884
- Fax
- (304) 278-7655
- NPI assigned
- Oct 5, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0002996 | WV | Primary |
Addresses
Primary practice location
426 Main Street
Rivesville, WV 26588
Mailing address
1937 Nicki Street
Fairmont, WV 26554
Phone (304) 363-7035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP0002996 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rivesville Community Pharmacy, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Rivesville, WV
- NPI 1184653909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760578504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1937 NICKI STREET",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "26554",
"telephone_number": "304-363-7035",
"fax_number": "304-278-7655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "426 MAIN STREET",
"city": "RIVESVILLE",
"state": "WV",
"postal_code": "26588",
"telephone_number": "304-278-7884",
"fax_number": "304-278-7655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "CAROL",
"middle_name": "A",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0002996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rivesville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.