NPIMap

Organization Active NPI

Bond's Drug Store

  • Pharmacy
  • Washington, WV
National Provider Identifier
1841373933
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
SP0550345 Issued in WV
Legal business name
BOND'S DRUG STORE
Practice address
1649 Harris Hwy
Washington, WV 26181-9762
Phone
(304) 863-3051
Fax
(304) 863-8813
NPI assigned
Oct 23, 2006
Last updated
Jan 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Authorized official

Name
Mr. Timothy Michael Bond, RPHNPI 1275616450
Title
President
Phone
(304) 863-3051

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X SP0550345 WV Primary

Addresses

Primary practice location

1649 Harris Hwy
Washington, WV 26181-9762

Mailing address

1649 Harris Hwy
Washington, WV 26181-3599
Phone (304) 863-3051

Other identifiers 1

IdentifierTypeStateIssuer
0139766000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930076701 WV DME Supplier - Pharmacy 3274651880 Practice locations: Washington, WV
O20130719000163 WV Part B Supplier - Mass Immunization (Roster Biller Only) 3274651880 Practice locations: Washington, WV

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D2182415Bond's Drug Store1649 Harris Highway, Washington, WV 26181Certificate of waiverApr 20, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Bonds Drug Store1649 Harris Hwy, Washington, WV 26181-3599(304) 863-3051 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Nebulizer Equipment and/o… Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

1649 Harris Hwy
Washington, WV 26181
Phone (304) 863-3051

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1841373933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 HARRIS HWY",
            "city": "WASHINGTON",
            "state": "WV",
            "postal_code": "261813599",
            "telephone_number": "304-863-3051",
            "fax_number": "304-863-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 HARRIS HWY",
            "city": "WASHINGTON",
            "state": "WV",
            "postal_code": "261819762",
            "telephone_number": "304-863-3051",
            "fax_number": "304-863-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOND'S DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-863-3051",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WV",
            "license": "SP0550345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0139766000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.