BURNSVILLE DRUG STORE NPI 1225180136

NPI Information

  • NPI: 1225180136
  • Provider Name: BURNSVILLE DRUG STORE
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Former Legal Business Name: BURNSVILLE DRUG STORE PLLC
  • Address: 110 MUNICIPAL ST
    BURNSVILLE, WV
    ZIP 26335
  • Phone: (304) 853-2500

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NPI Details

BURNSVILLE DRUG STORE is a pharmacy in Burnsville, WV. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. BURNSVILLE DRUG STORE NPI is 1225180136. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Burnsville Drug Store Pllc.

The provider's business location address is:

110 MUNICIPAL ST
BURNSVILLE, WV
ZIP 26335
Phone: (304) 853-2500
Fax: (304) 853-2019

The provider's authorized official is David Michael Mcquain .
The authorized official title is Pharmacist and has the following contact phone number (304) 853-2500.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 9/11/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183500000XPharmacist6062WEST VIRGINIANo
2333600000XPharmacy6062WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18500041000MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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