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COMMUNITY PHARMACY OF BRIDGEPORT
NPI 1851717557
Pharmacy - Community/Retail Pharmacy in Bridgeport, WV

Active since March 05, 2014
1212 JOHNSON AVE, BRIDGEPORT, WV 26330(304) 842-3223 Get Directions Write a Review

NPPES record last updated: March 5, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Community Pharmacy Of Bridgeport NPPES

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

COMMUNITY PHARMACY OF BRIDGEPORT (NPI 1851717557) is a healthcare organization registered as a community/retail pharmacy in Bridgeport, West Virginia and active in the NPI registry since March 2014. The organization lists Thomas J Ravis, Pic/owner, as its authorized official.

NPPES Registry Identity

NPI1851717557
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBRIDGEPORT PRESCRIPTION SHOP LLC
Location Address1212 JOHNSON AVEBridgeport, WV 26330-1354
Mailing Address1212 Johnson AveBridgeport, WV 26330-1354 · (304) 842-3223
Phone(304) 842-3223
Organization SubpartNo
Authorized OfficialThomas J RavisPic/owner · (304) 695-0572
Enumeration DateMarch 5, 2014
✔ NPI 1851717557 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.
1212 JOHNSON AVE, Bridgeport, WV 26330
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Other Names 1

Doing Business AsCommunity Pharmacy Of Bridgeport

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 ›

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories Community Pharmacy Of Bridgeport carries, from the Medicare DMEPOS supplier directory.

Community Pharmacy Of Bridgeport

DMEPOS supplier · Bridgeport, WVOperated by Bridgeport Prescription Shop LLC
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Does not accept Medicare assignment

Community Pharmacy Of Bridgeport 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)20505419
Medicare Participant SinceJune 2, 2014
Supplier Location1212 Johnson AveBridgeport, WV 26330
Phone(304) 842-3223
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
Infusion Drugs
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
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

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

PRESCRIPTION SHOP LLC
Pharmacy (Community/Retail Pharmacy)
1212 JOHNSON AVE
BRIDGEPORT, WV 26330
Harrison County (304) 842-3763

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 Bridgeport Prescription Shop LLC's NPI number?

The NPI number for Bridgeport Prescription Shop LLC is 1851717557. It was assigned to this organization in the NPPES registry on March 5, 2014. The provider is doing business as Community Pharmacy Of Bridgeport.

Where is Bridgeport Prescription Shop LLC located?

Bridgeport Prescription Shop LLC is located at 1212 Johnson Ave, Bridgeport, WV 26330. The listed phone number is (304) 842-3223.

What is Bridgeport Prescription Shop LLC's specialty?

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

Does Bridgeport Prescription Shop LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Community Pharmacy Of Bridgeport 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 Bridgeport Prescription Shop LLC 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 49 other insurers list Bridgeport Prescription Shop 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 Bridgeport Prescription Shop LLC was last updated on March 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.