Organization Active NPI

J&B Pharmacy1St LLC

  • Community/Retail Pharmacy
  • Grantsville, WV
National Provider Identifier
1902803141
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
SP0550136 Issued in WV
Legal business name
J&B PHARMACY1ST LLC
Practice address
352 Main Street
Grantsville, WV 26147
Phone
(304) 354-7737
Fax
(304) 354-7807
NPI assigned
Jul 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Seth Anato, PHARM.D.
Title
Head of Pharmacy Services
Phone
(314) 517-9035

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X SP0550136 WV Primary

Addresses

Primary practice location

352 Main Street
Grantsville, WV 26147

Mailing address

PO Box 560
Grantsville, WV 26147-0560
Phone (304) 354-7737

Other identifiers 2

IdentifierTypeStateIssuer
2109383OtherPK
0142545000MedicaidWV

Other names 2

  • J AND B DRUG STORE INC Doing business as
  • J&B Drugstore Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930035539 WV DME Supplier - Pharmacy 6901923564 Practice locations: Grantsville, WV
O20191223000555 WV Part B Supplier - Mass Immunization (Roster Biller Only) 6901923564 Practice locations: Grantsville, WV

National Provider Directory

National Provider Directory

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1902803141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560",
            "city": "GRANTSVILLE",
            "state": "WV",
            "postal_code": "261470560",
            "telephone_number": "304-354-7737",
            "fax_number": "304-354-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 MAIN STREET",
            "city": "GRANTSVILLE",
            "state": "WV",
            "postal_code": "26147",
            "telephone_number": "304-354-7737",
            "fax_number": "304-354-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&B PHARMACY1ST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "ANATO",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "HEAD OF PHARMACY SERVICES",
        "authorized_official_telephone_number": "314-517-9035",
        "authorized_official_credential": "PHARM.D."
    },
    "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": "SP0550136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2109383",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0142545000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J AND B DRUG STORE INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "J&B Drugstore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grantsville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.

Verify at the official NPI Registry.