Provider Demographics
NPI:1013171107
Name:RPCB LLC
Entity Type:Organization
Organization Name:RPCB LLC
Other - Org Name:REED'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HEMERICK
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:304-856-2901
Mailing Address - Street 1:2830 NORTHWESTERN PIKE
Mailing Address - Street 2:
Mailing Address - City:CAPON BRIDGE
Mailing Address - State:WV
Mailing Address - Zip Code:26711-9052
Mailing Address - Country:US
Mailing Address - Phone:304-856-2901
Mailing Address - Fax:304-856-2907
Practice Address - Street 1:2830 NORTHWESTERN PIKE
Practice Address - Street 2:
Practice Address - City:CAPON BRIDGE
Practice Address - State:WV
Practice Address - Zip Code:26711-9052
Practice Address - Country:US
Practice Address - Phone:304-856-2901
Practice Address - Fax:304-856-2907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-17
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
WVMP05523683336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2116926OtherPK
VA1013171107Medicaid
WV3810013463Medicaid
6617610001Medicare NSC