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RIDER PHARMACY INC NPI 1467459545


NPI Information

NPI: 1467459545
Provider Name: RIDER PHARMACY INC

Doing Business As: RIDER PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
303 MERCHANT ST
FAIRMONT, WV
ZIP 26554
Phone: (304) 366-2710
Get Directions

RIDER PHARMACY INC is a pharmacy in Fairmont, 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. RIDER PHARMACY INC NPI is 1467459545. The provider is registered as an organization entity type.
The provider Is Doing Business As Rider Pharmacy.

The provider's business location address is:

303 MERCHANT ST
FAIRMONT, WV
ZIP 26554-213
Phone: (304) 366-2710
Fax: (304) 366-3116

The provider's authorized official is Jonathan Rider .
The authorized official title is Owner and has the following contact phone number (304) 366-2710.

The enumeration date for this NPI number is 7/5/2005 and was last updated on 6/7/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
3333600000XPharmacyAR5100792WEST 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10427830001MEDICARE NSC
2014225200MEDICAIDWEST VIRGINIA
35001019OTHEROTHER ID NUMBER
4042783001MEDICAIDWEST 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: 4/28/2024

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