Riverside Pharmacy 2 LLC
Organization Active NPI Community/Retail Pharmacy · Gilbert, WV
NPI 1831999804 · NPPES record last updated Mar 18, 2025
Key facts
- NPI
- 1831999804
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- RIVERSIDE PHARMACY 2 LLC
- Practice address
- 22 Larry Joe Harless Drive
Gilbert, WV 25621 - Phone
- (304) 664-3343
- Fax
- (304) 664-8307
- NPI assigned
- Mar 18, 2025
- Organization subpart
- No
Authorized official
- Name
- Samuel Randolph Ballengee, PHARMD
- Title
- Pharmacist
- Phone
- (304) 664-3343
Practitioners 2
-
Samuel Randolph Ballengee, PHARMD
-
Gary Lane Cunningham, R.PH.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
22 Larry Joe Harless Drive
Gilbert, WV 25621
Mailing address
PO Box 431
22 Larry Joe Harless Drive
Gilbert, WV 25621
Phone (304) 664-3343
Other names
- RIVERSIDE PHARMACY 2
Other providers in Gilbert, WV
- Dustin Lee Paige
- Mary Jane Phipps
- Ashley Price
- Darlene Richards
- Avery B Ritchie
- Riverside Pharmacy Inc
- Amelia J. Santiago
- George Smith
- Hailey Smith
- Tina Smith
All providers in Gilbert, WV · Community/Retail Pharmacy in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.