Provider Type Icon

WHITE HALL PHARMACY LLC NPI 1508477332


NPI Information

NPI: 1508477332
Provider Name: WHITE HALL PHARMACY , LLC

Doing Business As: WHITE HALL PHARMACY, LLC

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
177 MIDDLETOWN RD STE 2
FAIRMONT, WV
ZIP 26554
Phone: (304) 368-9355
Get Directions

WHITE HALL PHARMACY , LLC is a long term care pharmacy pharmacy in Fairmont, WV. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. WHITE HALL PHARMACY , LLC NPI is 1508477332. The provider is registered as an organization entity type.
The provider Is Doing Business As White Hall Pharmacy, Llc.

The provider's business location address is:

177 MIDDLETOWN RD STE 2
FAIRMONT, WV
ZIP 26554-254
Phone: (304) 368-9355
Fax: (304) 368-5422

The provider's authorized official is Terri W Vilain .
The authorized official title is Rph/owner and has the following contact phone number (130) 429-0910.

The enumeration date for this NPI number is 8/14/2020 and was last updated on 8/17/2020.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyNo
43336C0004XPharmacyCompounding PharmacyNo
53336L0003XPharmacyLong Term Care PharmacyYes

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
13810013966MEDICAIDWEST 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.