Suncrest Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

SP0550277 Issued in WV

Legal business name

SUNCREST PHARMACY INC

Doing business as

SUNCREST PHARMACY

Practice address

3121 University Ave
Morgantown, WV 26505-3238

Phone

(304) 599-2159

Fax

(304) 599-4408

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Steve Monti, RPH

Title

VP/Sec/Tres

Phone

(304) 599-2159

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SUNCREST PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

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.

• Casey Ray Watts, PHARM.D.

  • Pharmacist
  • Morgantown, WV
  • NPI 1699921312
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1851456289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 UNIVERSITY AVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053238",
            "telephone_number": "304-599-2159",
            "fax_number": "304-599-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 UNIVERSITY AVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053238",
            "telephone_number": "304-599-2159",
            "fax_number": "304-599-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCREST PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "MONTI",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "VP/SEC/TRES",
        "authorized_official_telephone_number": "304-599-2159",
        "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": "SP0550277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0142311000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2109413",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNCREST PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• 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 Mar 16, 2015; 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.