Byard-Mercer Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

SP0551259 Issued in WV

Legal business name

BYARD-MERCER PHARMACY INC

Practice address

440 W Main St
Clarksburg, WV 26301-2817

Phone

(304) 624-5679

Fax

(304) 622-6888

NPI assigned

Oct 31, 2006

Organization subpart

No

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

Authorized official

Name

Daniel Rogers

Title

Pres

Phone

(304) 624-5679

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• BYARD MERCER PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in WV2 enrollments

Enrollment records 2

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.

• Deborah Lynn Fawcett, RPH

  • Pharmacist
  • Clarksburg, WV
  • NPI 1124502042
  NPD (past)

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1891871844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 W MAIN ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263012817",
            "telephone_number": "304-624-5679",
            "fax_number": "304-622-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W MAIN ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263012817",
            "telephone_number": "304-624-5679",
            "fax_number": "304-622-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYARD-MERCER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "304-624-5679"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0551259",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2109322",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0412103000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BYARD MERCER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samuel Lynn Burrows
• Kyle Alan Burt
• Daquan Burton
• Sherry Burton
• Brandy N Butcher
• Dezarae Nickcole Cable
• Brianna Cain, OTR/L
• Brittini Cain
• Morgan Alexandra Cain, DPT
• Vanessa Cain

• Community/Retail Pharmacy in Clarksburg, WV
• Providers in Clarksburg, 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 17, 2017; 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.