CLENDENIN HEALTH CENTER PHARMACY AT RIVERVIEW
NPI 1285928804
Pharmacy - Community/Retail Pharmacy in Clendenin, WV

Q: What is Clendenin Health Center Pharmacy At Riverview's specialty?

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

Active since May 31, 2011CLIA 51D0694533 · Waiver

107 KOONTZ AVE, CLENDENIN, WV 25045(304) 548-7272(304) 548-7149 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Clendenin Health Center Pharmacy At Riverview NPPES

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

CLENDENIN HEALTH CENTER PHARMACY AT RIVERVIEW (NPI 1285928804), doing business as Riverview Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Clendenin, West Virginia and active in the NPI registry since May 2011. The organization holds a CLIA Waiver certificate valid through April 30, 2027 and lists Angela Grace Stone, Lead Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1285928804

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameCLENDENIN HEALTH CENTER PHARMACY AT RIVERVIEW

Location Address107 KOONTZ AVEClendenin, WV 25045

Mailing Address104 Alex LnCharleston, WV 25304-2952 · (304) 734-2040 · Fax (304) 734-2047

Phone(304) 548-7272

Fax(304) 548-7149

Organization SubpartYesParent: Cabin Creek Health Center Inc

Authorized OfficialAngela Grace StoneLead Pharmacist · (681) 205-8730

Enumeration DateMay 31, 2011

Last NPPES UpdateJuly 16, 2025

NPPES CertifiedJuly 16, 2025

✔ NPI 1285928804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

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.

107 KOONTZ AVE, Clendenin, WV 25045

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Other Names 1

Doing Business AsRiverview Pharmacy

Other Identifiers 2

Medicaid3810021493WV

OtherMP0552393WV · Pharmacy License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D0694533

Clendenin Health Center · Clendenin, WV

Active · expires Apr 30, 2027

CLIA Number51D0694533

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateMay 1, 2025

Certificate Expiration DateApril 30, 2027

Laboratory DirectorDr. Brandon Merritt

Laboratory Phone(304) 548-7272

Laboratory LocationClendenin Health Center107 Koontz Avenue Suite 200, Clendenin, WV 25045

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

KIMBERLY DAWN OLIVER RPH

Pharmacist