Organization Active NPI

Kathy Collins McNeill

  • Community/Retail Pharmacy
  • Reedsville, WV
National Provider Identifier
1922196732
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
SP0550748 Issued in WV
Legal business name
KATHY COLLINS MCNEILL
Doing business as
Kathy Collins McNeill
Practice address
13150 Veterans Memorial Hwy
Reedsville, WV 26547
Phone
(304) 864-6935
Fax
(304) 864-3910
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Authorized official

Name
Kathy McNeill
Title
Owner
Phone
(304) 864-6935

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X SP0550748 WV Primary

Addresses

Primary practice location

13150 Veterans Memorial Hwy
Reedsville, WV 26547

Mailing address

PO Box 205
Reedsville, WV 26547-0205
Phone (304) 864-6935

Other identifiers 2

IdentifierTypeStateIssuer
0143099000MedicaidWV
2109796OtherPK

Other names 1

  • Kathy Collins McNeill Doing business as

National Provider Directory

National Provider Directory

Locations

13150 Veterans Memorial Hwy
Reedsville, WV 26547
Phone (304) 864-6935

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1922196732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 205",
            "city": "REEDSVILLE",
            "state": "WV",
            "postal_code": "265470205",
            "telephone_number": "304-864-6935",
            "fax_number": "304-864-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13150 VETERANS MEMORIAL HWY",
            "city": "REEDSVILLE",
            "state": "WV",
            "postal_code": "26547",
            "telephone_number": "304-864-6935",
            "fax_number": "304-864-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHY COLLINS MCNEILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "MCNEILL",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-864-6935"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0550748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0143099000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2109796",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kathy Collins McNeill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reedsville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.