New River Health Association, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

NEW RIVER HEALTH ASSOCIATION, INC.

Doing business as

New River Health - Smithers Pharmacy

Practice address

2 Greyhound LN.
Smithers, WV 25186

Phone

(304) 574-3991

Fax

(304) 574-3651

NPI assigned

Apr 7, 2020

Last updated

Oct 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marissa Johnson

Title

Credentialing Officer

Phone

(304) 469-2905

Specialties & licenses 1

Addresses

Other names 1

• New River Health - Smithers Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• New River Health Association Inc

  dba New River Health - Oak Hill Pharmacy

  • Community/Retail Pharmacy
  • Oak Hill, WV
  • NPI 1922764125

  O20210617000860

  Same enrollment
• New River Health Association, Inc.

  dba New River Health Fayetteville Pharmacy

  • Community/Retail Pharmacy
  • Fayetteville, WV
  • NPI 1598210338

  O20210617000860

  Same enrollment
• New River Health Association, Inc.

  dba Gulf Family Practice Pharmacy

  • Clinic Pharmacy
  • Sophia, WV
  • NPI 1609194505

  O20210617000860

  Same enrollment

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• New River Health Association, Inc.

  dba Independence Middle School Based Health Cen

  • Federally Qualified Health Center (FQHC)
  • Coal City, WV
  • NPI 1699260224

  Member Of

  NPD member

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1982233235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 MALL RD",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259016216",
            "telephone_number": "304-469-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GREYHOUND LN.",
            "city": "SMITHERS",
            "state": "WV",
            "postal_code": "25186",
            "telephone_number": "304-574-3991",
            "fax_number": "304-574-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW RIVER HEALTH ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-07",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "CREDENTIALING OFFICER",
        "authorized_official_telephone_number": "304-469-2905"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New River Health - Smithers Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New River Health - Smithers Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Elaine Jack, AS
• Tabitha Jones, PHARM D
• Kroger Limited Partnership I (Kroger Pharmacy)
• New River Health Association, Inc. (New River Health - Smithers Pharmacy)
• New River Health Association, Inc. (New River Health - Smithers)
• Natalie Nicole Powell
• Mary Sampe
• Heidi A. Skaggs, APRN FNP-BC
• Smithers Family Pharmacy
• Erica Ryan Stanley, APRN, FNP-BC

• Community/Retail Pharmacy in Smithers, WV
• Providers in Smithers, 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 Oct 9, 2023; 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.