Provider Demographics
NPI:1508842899
Name:HEALTH CARE PHARMACY INC
Entity Type:Organization
Organization Name:HEALTH CARE PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:H
Authorized Official - Last Name:COOKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-855-1102
Mailing Address - Street 1:PO BOX 200
Mailing Address - Street 2:
Mailing Address - City:CHAPMANVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25508-0200
Mailing Address - Country:US
Mailing Address - Phone:304-855-1100
Mailing Address - Fax:304-855-1110
Practice Address - Street 1:MAIN STREET AND PERCY DRIVE
Practice Address - Street 2:
Practice Address - City:CHAPMAVILLE
Practice Address - State:WV
Practice Address - Zip Code:25508
Practice Address - Country:US
Practice Address - Phone:304-855-1100
Practice Address - Fax:304-855-1110
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH CARE MANAGEMENT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-12-19
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0143741000Medicaid
69138OtherUNICARE MEDICAID MANAGED
5008291OtherDEPT OF LABOR
0202170001Medicare NSC