Organization Active NPI

NHP RX LLC

Doing business as Black Bear Pharmacy

  • Community/Retail Pharmacy
  • Beckley, WV
National Provider Identifier
1871262741
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NHP RX LLC
Doing business as
Black Bear Pharmacy
Practice address
1101 Neville St
Beckley, WV 25801-4227
Phone
(681) 254-4350
Fax
(681) 254-4351
NPI assigned
Sep 13, 2021
Last updated
Sep 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Authorized official

Name
Dr. Nathan H Payne, PHARMDNPI 1891076154
Title
Owner
Phone
(434) 489-2848

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
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1101 Neville St
Beckley, WV 25801-4227

Mailing address

1101 Neville St
Beckley, WV 25801-4227
Phone (681) 254-4350

Other names 1

  • BLACK BEAR PHARMACY Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Beckley

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220218001629 WV Part B Supplier - Pharmacy 2567856412 Practice locations: Beckley, 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
51D2241662NHP RX LLC Dba Black Bear Pharmacy1101 W Neville St, Beckley, WV 25801Certificate of waiverOct 31, 2027

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1101 Neville St
Beckley, WV 25801
Phone (681) 254-4350

Practitioners & affiliated clinicians

Practitioners 3

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": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1871262741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 NEVILLE ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258014227",
            "telephone_number": "681-254-4350",
            "fax_number": "681-254-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 NEVILLE ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258014227",
            "telephone_number": "681-254-4350",
            "fax_number": "681-254-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NHP RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-489-2848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Beckley",
            "affiliation": "N",
            "address_1": "1101 Neville St",
            "city": "Beckley",
            "state": "WV",
            "country_code": "US",
            "postal_code": "258014227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "BLACK BEAR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.