South Berkeley Pharmacy

LBN: Jsb Enterprises Inc
South Berkeley Pharmacy is an health care organization with primary practice located at 5054 Gerrardstown Road , Inwood WV 25428. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Jsb Enterprises Inc can be contacted via phone (304) 229-2400, or through Boyd, J Scott via phone (304) 229-3879.

Contact Information

Primary practice address
5054 Gerrardstown Road Inwood WV 25428
Phone: (304) 229-2400
Fax: (304) 229-2906
Website:
Map and Directions
Authorized official contact:
Name: Boyd, J Scott RPH
Phone: (304) 229-3879

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X SP0552336 West Virginia
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1952312506
LBN Legal business name Jsb Enterprises Inc
DBA Doing business as South Berkeley Pharmacy
Authorized official Boyd, J Scott RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Mar 3rd, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952312506 NPPES
Other 5054301 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 6271410001 NCPDP PROVIDER IDENTIFICATION NUMBER

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