1659986875 NPI number — DR. LINDSAY RAYE CAMERLIN PHARMD

Table of content: DR. LINDSAY RAYE CAMERLIN PHARMD (NPI 1659986875)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659986875 NPI number — DR. LINDSAY RAYE CAMERLIN PHARMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CAMERLIN
Provider First Name:
LINDSAY
Provider Middle Name:
RAYE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHARMD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
COVERT
Provider Other First Name:
LINDSAY
Provider Other Middle Name:
RAYE
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHARMD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1659986875
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/14/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
801 COUNTRY CLUB DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SISTERSVILLE
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
26175-9765
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-615-4624
Provider Business Mailing Address Fax Number:
304-652-1926

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
615 WELLS ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SISTERSVILLE
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26175-1323
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-652-6131
Provider Business Practice Location Address Fax Number:
304-652-1926
Provider Enumeration Date:
09/14/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  RP0007031 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com