Suncrest Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

SP0551182 Issued in WV

Legal business name

SUNCREST PHARMACY

Doing business as

CHEAT LAKE PHARMACY

Practice address

509 Ashebrooke SQ
Morgantown, WV 26508-4465

Phone

(304) 594-0132

Fax

(304) 594-0134

NPI assigned

Nov 23, 2005

Organization subpart

No

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

Authorized official

Name

Steven Monti, RPH

Title

Co Owner

Phone

(304) 594-0132

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CHEAT LAKE PHARMACY Doing business as

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1811970775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 ASHEBROOKE SQ",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265084465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 ASHEBROOKE SQ",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265084465",
            "telephone_number": "304-594-0132",
            "fax_number": "304-594-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCREST PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "MONTI",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "304-594-0132",
        "authorized_official_credential": "RPH"
    },
    "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": "SP0551182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0142311002",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "5010145",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHEAT LAKE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cindy S Summers, LMT
• Jessica L Summers
• Martha Summers, CFNP
• Noreen Faye Summers
• Suncrest Obstetrics and Gynecology
• Suncrest Pharmacy Inc
• Suncrest Town Centre-Wvu
• Ashok Sundar, DDS,MS
• Jesse Sundar, MD
• Jarrod Sundin, MOT

• Community/Retail Pharmacy in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Community/Retail Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.

Verify at the official NPI Registry.