Country Roads Pharmacy Inc
NPI 1093881898 · Pharmacist · Glen Daniel, WV
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Country Roads Pharmacy Inc is a Pharmacist organization in Glen Daniel, WV (NPI 1093881898).
Provider details
- NPI number
- 1093881898
- Entity type
- Organization
- Primary specialty
- PharmacistPharmacy Service Providers
- Organization subpart
- No
- Authorized official
- Teresa Thompson, Registered Pharmacist(304) 934-5327
- License
- SP0550106 (WV)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-27
- Last updated
- 2014-02-24
Frequently asked questions
- What is Country Roads Pharmacy Inc's NPI number?
- Country Roads Pharmacy Inc's National Provider Identifier (NPI) is 1093881898, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Country Roads Pharmacy Inc?
- Country Roads Pharmacy Inc is classified in the NPPES registry as Pharmacist (Pharmacy Service Providers).
- Where is Country Roads Pharmacy Inc located?
- Country Roads Pharmacy Inc's practice location on file with NPPES is 109 Bolt Rd, Glen Daniel, WV 25844-0000.
- What is Country Roads Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Country Roads Pharmacy Inc is (304) 934-5327.
- Does Country Roads Pharmacy Inc accept Medicare?
- Country Roads Pharmacy Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Country Roads Pharmacy Inc?
- The authorized official listed on Country Roads Pharmacy Inc's NPPES record is Teresa Thompson, Registered Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Country Roads Pharmacy Inc's NPI active?
- Yes — Country Roads Pharmacy Inc's NPI (1093881898) is active in the NPPES registry as of the last update on 2014-02-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.