Active NPI
NHP RX LLC
Doing business as Black Bear Pharmacy
- Community/Retail Pharmacy
- Beckley, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nathan H Payne, PHARMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Beckley |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220218001629 | WV | Part B Supplier - Pharmacy | 2567856412 | Practice locations: Beckley, WV |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D2241662 | NHP RX LLC Dba Black Bear Pharmacy | Certificate of waiver | Oct 31, 2027 |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Community/Retail Pharmacy
- Danville, VA
- NPI 1811460561
Member Of
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.
-
- Pharmacist
- Danville, VA
- NPI 1891076154
-
- Pharmacist
- Beckley, WV
- NPI 1811276793
-
- Pharmacist
- Beckley, WV
- NPI 1699554113
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.