West End Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201004339 Issued in VA

Legal business name

WEST END PHARMACY

Practice address

340 Colley Shopping Ctr
Clintwood, VA 24228-5756

Phone

(276) 926-6890

Fax

(276) 926-6893

NPI assigned

May 19, 2010

Organization subpart

No

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

Authorized official

Name

Timothy McCartyNPI 1528347010

Title

Owner/President

Phone

(276) 926-6890

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• West End Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in VA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Patrick McCarty, PHARMD

  • Pharmacist
  • Clintwood, VA
  • NPI 1528347010
  NPD Authorized official

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1770802480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 COLLEY SHOPPING CTR",
            "city": "CLINTWOOD",
            "state": "VA",
            "postal_code": "242285756",
            "telephone_number": "276-926-6890",
            "fax_number": "276-926-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 COLLEY SHOPPING CTR",
            "city": "CLINTWOOD",
            "state": "VA",
            "postal_code": "242285756",
            "telephone_number": "276-926-6890",
            "fax_number": "276-926-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST END PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "MCCARTY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "276-926-6890"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770802480",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4842274",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West End Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelli Viers, RN
• Virginia Department of Health
• Walgreen Co
• Walid Saado MD PC
• Kala Denise Wallace
• Leann Marie Yates, PHARM D.

• All providers in Clintwood, VA
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.