Active NPI
Senior Life Pharmacy LLC
Doing business as SeniorLifeRX
- Mail Order Pharmacy
- Elkview, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mail Order Pharmacy
- Legal business name
- SENIOR LIFE PHARMACY LLC
- Doing business as
- SeniorLifeRX
- Practice address
- 5002 Elk River Rd S
Elkview, WV 25071-9619 - Phone
- (844) 933-5433
- Fax
- (304) 364-0063
- NPI assigned
- Dec 4, 2023
- Last updated
- Sep 1, 2026
- 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
- Kasey Knight
- Title
- Pharmacist in Charge
- Phone
- (912) 223-6326
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 |
|---|---|---|---|---|
| Mail Order Pharmacy | 3336M0002X | Primary |
Addresses
Primary practice location
5002 Elk River Rd S
Elkview, WV 25071-9619
Mailing address
106 Oak St
Thomasville, GA 31792-5435
Phone (844) 933-5433
Other names 1
- SeniorLifeRX
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250506002554 | WV | Part B Supplier - Pharmacy | 8527585207 | Practice locations: Elkview, WV |
National Provider Directory
National Provider Directory- Tax ID family
- Senior Life Pharmacy LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
5002 Elk River Rd S
Elkview, WV 25071
Phone (304) 407-6437
Practitioners & affiliated clinicians
Practitioners 1
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
- Quitman, GA
- NPI 1134787880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788220800000",
"number": "1891561593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 OAK ST",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317925435",
"telephone_number": "844-933-5433",
"fax_number": "304-364-0063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5002 ELK RIVER RD S",
"city": "ELKVIEW",
"state": "WV",
"postal_code": "250719619",
"telephone_number": "844-933-5433",
"fax_number": "304-364-0063"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR LIFE PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-04",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A",
"authorized_official_last_name": "KNIGHT",
"authorized_official_first_name": "KASEY",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "912-223-6326"
},
"taxonomies": [
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SeniorLifeRX",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Elkview, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.