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SOUTH FORK PHARMACY
NPI 1104248269
Pharmacy - Community/Retail Pharmacy in Moorefield, WV

Active since January 09, 2014
732 N MAIN ST, MOOREFIELD, WV 26836(304) 530-1044(304) 530-2681 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2020, Jan 13, 2016 (2 updates tracked since 2016).

About South Fork Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH FORK PHARMACY (NPI 1104248269) is a healthcare organization registered as a community/retail pharmacy in Moorefield, West Virginia and active in the NPI registry since January 2014. The organization lists Bradley Joseph Williams, Owner, as its authorized official.

NPPES Registry Identity

NPI1104248269
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWILLIAMS PHARMACY HOLDINGS 1 LLC
Location Address732 N MAIN STMoorefield, WV 26836-1021
Mailing Address732 N Main StMoorefield, WV 26836-1021 · (304) 530-1044 · Fax (304) 530-2681
Phone(304) 530-1044
Fax(304) 530-2681
Organization SubpartNo
Authorized OfficialBradley Joseph WilliamsOwner · (304) 530-1044
Enumeration DateJanuary 9, 2014
Last NPPES UpdateDecember 3, 20202 updates tracked since enumeration
NPPES CertifiedDecember 3, 2020
✔ NPI 1104248269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in WV · SP055246
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
732 N MAIN ST, Moorefield, WV 26836
Open in Google Maps ↗

Other Names 1

Doing Business AsSouth Fork Pharmacy

Other Identifiers 2

Other2144262Pk
Medicaid3910005593WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia, Medica, Moda Health Plan, Inc..Insurance ›

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories South Fork Pharmacy carries, from the Medicare DMEPOS supplier directory.

South Fork Pharmacy

DMEPOS supplier · Moorefield, WVOperated by Williams Pharmacy Holdings 1 LLC
⋮

Does not accept Medicare assignment

South Fork Pharmacy has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20482277
Medicare Participant SinceSeptember 9, 2015
Supplier Location732 N Main StMoorefield, WV 26836
Phone(304) 530-1044
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

E. A. HAWSE HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
732 N MAIN ST
MOOREFIELD, WV 26836
Hardy County (304) 897-5915
BRADLEY JOSEPH WILLIAMS PHARM.D
Pharmacist
732 N MAIN ST
MOOREFIELD, WV 26836
Hardy County (304) 530-1044
E. A. HAWSE HEALTH CENTER, INC.
Pharmacy (Community/Retail Pharmacy)
732 N MAIN ST
MOOREFIELD, WV 26836
Hardy County (304) 897-5915

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Williams Pharmacy Holdings 1 LLC's NPI number?

The NPI number for Williams Pharmacy Holdings 1 LLC is 1104248269. It was assigned to this organization in the NPPES registry on January 9, 2014. The provider is doing business as South Fork Pharmacy.

Where is Williams Pharmacy Holdings 1 LLC located?

Williams Pharmacy Holdings 1 LLC is located at 732 N Main St, Moorefield, WV 26836. The listed phone number is (304) 530-1044.

What is Williams Pharmacy Holdings 1 LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Williams Pharmacy Holdings 1 LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, South Fork Pharmacy does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Williams Pharmacy Holdings 1 LLC accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia, Medica and Moda Health Plan, Inc. list Williams Pharmacy Holdings 1 LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Williams Pharmacy Holdings 1 LLC was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.