Organization
BP4 LLC
Active
Other names
BYPASS PHARMACY # 4
Organization subpart
No
Provider details
NPI number
Authorized official
SIDDARTHAN ILANGOVAN (PHARMACIST)
(304) 222-3064
Entity
Organization
Contact information
Practice address
5151 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1109
(304) 766-0900
(304) 766-0901
Mailing address
104 S EISENHOWER DR, BECKLEY, WV 25801-4930
(304) 222-3064
(304) 253-3982
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
MP0552418
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153688
PK
—
Enumeration date
08/25/2015
Last updated
11/18/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up