Renegade Pharmacy Inc.
NPI 1154977023 · Community/Retail Pharmacy · Oceana, WV
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Renegade Pharmacy Inc. is a Community/Retail Pharmacy organization in Oceana, WV (NPI 1154977023).
Provider details
- NPI number
- 1154977023
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jenny Cunningham, Owner(304) 994-0635
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
- 2019-08-15
- Last updated
- 2019-08-15
Frequently asked questions
- What is Renegade Pharmacy Inc.'s NPI number?
- Renegade Pharmacy Inc.'s National Provider Identifier (NPI) is 1154977023, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renegade Pharmacy Inc.?
- Renegade Pharmacy Inc. is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Renegade Pharmacy Inc. located?
- Renegade Pharmacy Inc.'s practice location on file with NPPES is Rt 10 Cook Parkway/18 Logan Street, Oceana, WV 24870.
- What is Renegade Pharmacy Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Renegade Pharmacy Inc. is (304) 682-0444.
- Does Renegade Pharmacy Inc. accept Medicare?
- Renegade 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 Renegade Pharmacy Inc.?
- The authorized official listed on Renegade Pharmacy Inc.'s NPPES record is Jenny Cunningham, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renegade Pharmacy Inc.'s NPI active?
- Yes — Renegade Pharmacy Inc.'s NPI (1154977023) is active in the NPPES registry as of the last update on 2019-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.