Healthcare Provider Details

I. General information

NPI: 1871538082
Provider Name (Legal Business Name): AMERICAN PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 FAIRMONT AVE
WHITE HALL WV
26554-3451
US

IV. Provider business mailing address

1022 RIVERVIEW DR
FAIRMONT WV
26554-8308
US

V. Phone/Fax

Practice location:
  • Phone: 304-368-9123
  • Fax: 304-368-9451
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberSP0552259
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JANETTE CELLAND
Title or Position: MANAGING MEMBER
Credential:
Phone: 304-368-9123