Active NPI
Health Facilities Inc
Doing business as Tygart Valley Pharmacy
- Community/Retail Pharmacy
- Mill Creek, WV
National Provider Identifier
1760772487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- SP0552421
- Legal business name
- HEALTH FACILITIES INC
- Doing business as
- Tygart Valley Pharmacy
- Practice address
- 46 Town Center Plaza
Mill Creek, WV 26280 - Phone
- (304) 335-6005
- Fax
- (304) 335-6009
- NPI assigned
- Apr 14, 2011
- Last updated
- Nov 20, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda Smith
- Title
- Pharmacy Director
- Phone
- (304) 636-6767
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | SP0552421 | WV | Primary |
Addresses
Primary practice location
46 Town Center Plaza
Mill Creek, WV 26280
Mailing address
PO Box 309
Mill Creek, WV 26280-0309
Phone (304) 335-6005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2129827 | Other | PK |
Other names 1
- Tygart Valley Pharmacy
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Davis Medical Center
- General Acute Care Hospital
- Elkins, WV
- NPI 1619964806
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302739200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1384905600000",
"number": "1760772487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 309",
"city": "MILL CREEK",
"state": "WV",
"postal_code": "262800309",
"telephone_number": "304-335-6005",
"fax_number": "304-335-6009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 TOWN CENTER PLAZA",
"city": "MILL CREEK",
"state": "WV",
"postal_code": "26280",
"telephone_number": "304-335-6005",
"fax_number": "304-335-6009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH FACILITIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-14",
"last_updated": "2013-11-20",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "PHARMACY DIRECTOR",
"authorized_official_telephone_number": "304-636-6767"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "WV",
"license": "SP0552421",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2129827",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tygart Valley Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mill Creek, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.