JESSICA D BOOTH
NPI 1679110290
Pharmacy - Community/Retail Pharmacy in Bridgeport, WV

Active since December 02, 2019
300 W MAIN ST, BRIDGEPORT, WV 26330(304) 842-3131 Get Directions Write a Review

NPPES record last updated: December 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica D Booth NPPES

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

JESSICA D BOOTH (NPI 1679110290) is an individual community/retail pharmacy provider in Bridgeport, West Virginia, licensed in West Virginia (RP0011851) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1679110290
Entity TypeIndividualFemale
Primary Taxonomy3336C0003X
Provider Legal NameJESSICA D BOOTH
Location Address300 W MAIN STBridgeport, WV 26330-1751
Mailing Address4110 Kaustin DrMorgantown, WV 26501-7229
Sole ProprietorYes
Enumeration DateDecember 2, 2019
NPI 1679110290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in WV · RP0011851
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.
300 W MAIN ST, Bridgeport, WV 26330

Other Identifiers 1

OtherRP0011851WV · Pharmacist License

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.

Pharmacist
300 W MAIN ST
BRIDGEPORT, WV 26330
Pharmacist
300 W MAIN ST
BRIDGEPORT, WV 26330
Pharmacy
300 W MAIN ST
BRIDGEPORT, WV 26330

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 Jessica Booth's NPI number?

The NPI number for Jessica Booth is 1679110290. It was assigned to this individual provider in the NPPES registry on December 2, 2019.

Where is Jessica Booth located?

Jessica Booth practices at 300 W Main St, Bridgeport, WV 26330. The listed phone number is (304) 842-3131.

What is Jessica Booth's specialty?

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

When was this NPI record last updated?

The NPPES record for Jessica Booth was last updated on December 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.