Active NPI
Jason Roman Gevenosky, PHARMD
- Pharmacist
- Beckley, WV
National Provider Identifier
1902116338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0006766
- Practice address
- 2987 Robert C Byrd Dr
Beckley, WV 25801-4400 - Phone
- (304) 252-6331
- Fax
- (304) 252-0075
- NPI assigned
- Oct 19, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0006766 | WV | Primary |
Addresses
Primary practice location
2987 Robert C Byrd Dr
Beckley, WV 25801-4400
Mailing address
150 Twin Oaks Drive
Shady Spring, WV 25918
Phone (304) 763-3593
Other practice location 1
1731 Harper Road
Beckley, WV 25801
Phone (304) 255-1251
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP0006766 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eppys Drug Store Inc | Past | Accepting new patients | |
| Eppys Drug Store Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Beckley, WV
- NPI 1063416790
-
- Long Term Care Pharmacy
- Beckley, WV
- NPI 1942012398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540771200000",
"number": "1902116338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 TWIN OAKS DRIVE",
"city": "SHADY SPRING",
"state": "WV",
"postal_code": "25918",
"telephone_number": "304-763-3593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2987 ROBERT C BYRD DR",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258014400",
"telephone_number": "304-252-6331",
"fax_number": "304-252-0075"
}
],
"practiceLocations": [
{
"address_1": "1731 Harper Road",
"address_purpose": "LOCATION",
"city": "Beckley",
"state": "WV",
"postal_code": "25801",
"country_code": "US",
"telephone_number": "304-255-1251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEVENOSKY",
"first_name": "JASON",
"middle_name": "ROMAN",
"name_prefix": "Mr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-19",
"last_updated": "2018-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0006766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.