NPIMap

Organization Active NPI

Follansbee Pharmacy, Inc

  • Pharmacy
  • Follansbee, WV
National Provider Identifier
1790782274
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
SP0551249 Issued in WV
Legal business name
FOLLANSBEE PHARMACY, INC
Practice address
1415 Main St
Follansbee, WV 26037-1217
Phone
(304) 527-1004
NPI assigned
Jun 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
John Joseph Bernabei
Title
Owner
Phone
(304) 723-6331

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X SP0551249 WV
Oxygen Equipment & Supplies (DME) 332BX2000X SP0551249 WV
Pharmacy 333600000X SP0551249 WV Primary

Addresses

Primary practice location

1415 Main St
Follansbee, WV 26037-1217

Mailing address

1415 Main St
Follansbee, WV 26037-1217
Phone (304) 527-1004

Other identifiers 4

IdentifierTypeStateIssuer
SP0551249OtherWVSTATE LICENSE NUMBER
0141273000MedicaidWV
0244202MedicaidOH
5010690OtherNABP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930053085 WV DME Supplier - Pharmacy 4385700509 Practice locations: Follansbee, WV
O20120125000026 WV Part B Supplier - Mass Immunization (Roster Biller Only) 4385700509 Practice locations: Follansbee, WV
O20200716003064 WV Part B Supplier - Pharmacy 4385700509 Practice locations: Follansbee, WV

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Follansbee Pharmacy Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1415 Main St
Follansbee, WV 26037
Phone (304) 527-1004

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1790782274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 MAIN ST",
            "city": "FOLLANSBEE",
            "state": "WV",
            "postal_code": "260371217",
            "telephone_number": "304-527-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 MAIN ST",
            "city": "FOLLANSBEE",
            "state": "WV",
            "postal_code": "260371217",
            "telephone_number": "304-527-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOLLANSBEE PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "BERNABEI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-723-6331"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WV",
            "license": "SP0551249",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "WV",
            "license": "SP0551249",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WV",
            "license": "SP0551249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "SP0551249",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0141273000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0244202",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "5010690",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Follansbee, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.