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West Virginia Cvs Pharmacy LLC

West Virginia Cvs Pharmacy LLC is a healthcare organization registered as Community/Retail Pharmacy in Morgantown, WV, holding Type 2 (organization) NPI 1124041421 since 2006. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations.

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NPI 1124041421
Entity type Organization (Type 2)
Legal business name West Virginia Cvs Pharmacy LLC
Other name <Unavail>
Practice address 1329 TARGET WAY, Morgantown, WV, 26501
Phone 3045995581
Fax 3045995581
Enumeration date 2006-07-26
Last updated in NPPES 2020-11-12

Authorized official

Name Susan Colbert
Title Sr. Director, Payer Relations
Phone 4017702751

Taxonomy & classification

Taxonomy code Specialty Primary License State
332B00000X Durable Medical Equipment & Medical Supplies Secondary
333600000X Pharmacy Secondary
3336C0003X Community/Retail Pharmacy Primary MP0552318 WV

Other identifiers

Identifier Type State Issuer
1007283250092 Medicaid PA
2111512 Other PK
6001374000 Medicaid WV
Copy-ready billing details
Provider: West Virginia Cvs Pharmacy LLC
NPI: 1124041421
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 1329 TARGET WAY, Morgantown, WV, 26501

Providers at this address

NPI Name Type Specialty Location
1841575172 Breanne Baker Individual Pharmacist Morgantown, WV
1740958990 Stephen Riffon Individual Pharmacist Morgantown, WV
1073209011 Mohammad Odeh Individual Pharmacist Morgantown, WV

Verify this record

Cross-check NPI 1124041421 against the authoritative CMS record: view West Virginia Cvs Pharmacy LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What type of organization is West Virginia Cvs Pharmacy LLC?
West Virginia Cvs Pharmacy LLC is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-11-12.