SPG Vienna

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SPG VIENNA

Doing business as

Shrivers Pharmacy and Wellness V

Practice address

800 Grand Central Mall Ste 5
Vienna, WV 26105-4100

Phone

(304) 295-7356

NPI assigned

Jul 10, 2026

Organization subpart

No

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

Authorized official

Name

Eric B. Blake

Title

Chief Compliance Officer

Phone

(740) 452-7685

Specialties & licenses 1

Addresses

Other names 1

• Shrivers Pharmacy and Wellness V Doing business as

Practitioners 1

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

• Daniel Nathan Bond, PHARMD

  • Pharmacist
  • Vienna, WV
  • NPI 1609946516
  NPD (past)

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

{
    "created_epoch": "1783641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1922926443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3506",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437023506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GRAND CENTRAL MALL STE 5",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261054100",
            "telephone_number": "304-295-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPG VIENNA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-10",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "740-452-7685"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shrivers Pharmacy and Wellness V",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori Smith
• Miranda Smith
• Mitchell Smith
• Ann Spade
• Ashlee Spears
• Nicole Ann Sprouse
• Victoria Erin Spurr, FNP
• Annlee Staats
• John A Stavrakis, OD
• Melissa Jane Stavrakis, DPT, OCS

• Community/Retail Pharmacy in Vienna, WV
• Providers in Vienna, 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 Jul 23, 2026; 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.