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GOODYKOONTZ DRUG STORE INC
NPI 1417054255
Pharmacy - Community/Retail Pharmacy in Bluefield, WV

Active since September 20, 2006
2924 EAST CUMBERLAND ROAD, BLUEFIELD, WV 24701(304) 325-7121(304) 327-9701 Get Directions Write a Review

NPPES record last updated: September 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Goodykoontz Drug Store Inc NPPES

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

GOODYKOONTZ DRUG STORE INC (NPI 1417054255) is a healthcare organization registered as a community/retail pharmacy in Bluefield, West Virginia and active in the NPI registry since September 2006. The organization lists Jerry Bovenizer, President, as its authorized official.

NPPES Registry Identity

NPI1417054255
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGOODYKOONTZ DRUG STORES INC
Location Address2924 EAST CUMBERLAND ROADBluefield, WV 24701
Mailing Address2924 East Cumberland RoadBluefield, WV 24701 · (304) 325-7121 · Fax (304) 327-9701
Phone(304) 325-7121
Fax(304) 327-9701
Organization SubpartNo
Authorized OfficialJerry BovenizerPresident · (304) 324-7601
Enumeration DateSeptember 20, 2006
Last NPPES UpdateSeptember 19, 2016
✔ NPI 1417054255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in WV · SP0550098
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
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
2924 EAST CUMBERLAND ROAD, Bluefield, WV 24701
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Other Names 1

Doing Business AsGoodykoontz Drug Store Inc

Other Identifiers 4

Medicare NSC5058110001
Medicaid0085046995VA
Other2109351Pk
Medicaid0141899000WV

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 ›

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
67 services66 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
43 services43 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
12 services12 patients

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 Goodykoontz Drug Stores Inc's NPI number?

The NPI number for Goodykoontz Drug Stores Inc is 1417054255. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is doing business as Goodykoontz Drug Store Inc.

Where is Goodykoontz Drug Stores Inc located?

Goodykoontz Drug Stores Inc is located at 2924 East Cumberland Road, Bluefield, WV 24701. The listed phone number is (304) 325-7121.

What is Goodykoontz Drug Stores Inc's specialty?

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

What insurance does Goodykoontz Drug Stores Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Goodykoontz Drug Stores Inc 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 Goodykoontz Drug Stores Inc was last updated on September 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.