FOLLANSBEE PHARMACY INC NPI 1790782274

NPI Information

NPI: 1790782274
Provider Name: FOLLANSBEE PHARMACY, INC
Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 51D0951744

Address:
1415 MAIN ST
FOLLANSBEE, WV
ZIP 26037
Phone: (304) 527-1004
Get Directions

FOLLANSBEE PHARMACY, INC is a pharmacy in Follansbee, 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. FOLLANSBEE PHARMACY, INC NPI is 1790782274. The provider is registered as an organization entity type.

The provider's business location address is:

1415 MAIN ST
FOLLANSBEE, WV
ZIP 26037-217
Phone: (304) 527-1004

The provider's authorized official is Aldo William Crisante .
The authorized official title is Owner and has the following contact phone number (304) 527-1004.

The CLIA number assigned to this NPI record is 51D0951744 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/30/2005 and was last updated on 2/18/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		SP0551249	WEST VIRGINIA	No
2	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	SP0551249	WEST VIRGINIA	No
3	333600000X	Pharmacy		SP0551249	WEST VIRGINIA	Yes

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
1	0141273000	MEDICAID	WEST VIRGINIA
2	0244202	MEDICAID	OHIO
3	5010690	OTHER		NABP NUMBER
4	SP0551249	OTHER	WEST VIRGINIA	STATE LICENSE NUMBER

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: 5/5/2024

NPI Synchronization or Removal

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