Organization
JERRY SKEENES
Active
Other names
ALUM CREEK PHARMACY AT SAND PLANT
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY SKEENES (OWNER)
(304) 756-2181
Entity
Organization
Contact information
Practice address
1563 SAND PLANT RD, SOUTH CHARLESTON, WV 25309-6120
(304) 756-2181
(304) 756-2796
Mailing address
PO BOX 37, ALUM CREEK, WV 25003-0037
(304) 756-2181
(304) 756-2796
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP0552446
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139035000
—
WV
01
—
5001261
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/06/2006
Last updated
03/25/2013
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