NEW RIVER HEALTH FAYETTEVILLE PHARMACY
NPI 1386005148
Pharmacy in Fayetteville, WV

Active since March 08, 2016CLIA 51D2149986 · Waiver
217 W MAPLE AVE, FAYETTEVILLE, WV 25840(304) 574-3991(304) 574-3651 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 9, 2023, Jan 7, 2021 (2 updates tracked since 2021).

About New River Health Fayetteville Pharmacy NPPES

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

NEW RIVER HEALTH FAYETTEVILLE PHARMACY (NPI 1386005148) is a healthcare organization registered as a pharmacy in Fayetteville, West Virginia and active in the NPI registry since March 2016. The organization holds a CLIA Waiver certificate valid through June 13, 2028 and lists John R Schultz, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1386005148
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameNEW RIVER HEALTH ASSOCIATION, INC.
Location Address217 W MAPLE AVEFayetteville, WV 25840-1413
Mailing Address497 Mall RdOak Hill, WV 25901-6216
Fax(304) 574-3651
Organization SubpartNo
Authorized OfficialJohn R SchultzChief Executive Officer · (304) 469-2905
Enumeration DateMarch 8, 2016
Last NPPES UpdateOctober 9, 20232 updates tracked since enumeration
NPPES CertifiedOctober 9, 2023
NPI 1386005148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

217 W MAPLE AVE, Fayetteville, WV 25840

Other Names 1

Doing Business AsNew River Health Fayetteville Pharmacy

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
51D2149986
Facility Type
Pharmacy
Certificate Effective Date
June 14, 2026
Certificate Expiration Date
June 13, 2028
Laboratory Director
MS. KAREN L. REED
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to New River Health Fayetteville Pharmacy to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Pharmacy (Community/Retail Pharmacy)
217 W MAPLE AVE
FAYETTEVILLE, WV 25840

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386005148, enumerated as an "organization" on March 08, 2016.

The provider is located at 217 W MAPLE AVE FAYETTEVILLE, WV 25840 and the phone number is (304) 574-3991.

Pharmacy with taxonomy code 333600000X.