Phillips Drug LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

SP0550161 Issued in WV

Legal business name

PHILLIPS DRUG LLC

Doing business as

PHILLIPS PHARMACY

Practice address

615 Wells St
Sistersville, WV 26175-1323

Phone

(304) 652-6131

Fax

(304) 652-1926

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

James Phillips, RP

Title

Owner

Phone

(304) 652-1531

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• PHILLIPS PHARMACY Doing business as

Locations

Practitioners 2

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

• Lindsay Raye Camerlin, PHARMD

  • Pharmacist
  • Sistersville, WV
  • NPI 1659986875
  NPD (past)
• Emily Jean Price, PHARMD

  • Pharmacist
  • Sistersville, WV
  • NPI 1811595804
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1972664043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 WELLS ST",
            "city": "SISTERSVILLE",
            "state": "WV",
            "postal_code": "261751323",
            "telephone_number": "304-652-6131",
            "fax_number": "304-652-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 WELLS ST",
            "city": "SISTERSVILLE",
            "state": "WV",
            "postal_code": "261751323",
            "telephone_number": "304-652-6131",
            "fax_number": "304-652-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-652-1531",
        "authorized_official_credential": "RP"
    },
    "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": "SP0550161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2109482",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00142230000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHILLIPS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayla S Michaelis
• Keith Allen Milhoan, DO
• Remington Hope Miller
• Amy Jo Moffitt
• Pharmacole Inc
• Mary Phillips
• Andrea Danielle Pittman, PTA
• Alisha Placer, APRN FNP-C
• Kelli Potoczny
• Emily Jean Price, PHARMD

• Community/Retail Pharmacy in Sistersville, WV
• Providers in Sistersville, 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 Jun 16, 2015; 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.