Bp4 LLC
NPI 1700253861 · Community/Retail Pharmacy · South Charleston, WV
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bp4 LLC is a Community/Retail Pharmacy organization in South Charleston, WV (NPI 1700253861).
Provider details
- NPI number
- 1700253861
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Siddarthan Ilangovan, Pharmacist(304) 222-3064
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Other names (DBA / former)
- Doing business as
- Bypass Pharmacy # 4
- Doing business as
- Bypass Pharmacy # 4
Registry dates
- Enumerated
- 2015-08-25
- Last updated
- 2021-11-18
- Certified
- 2021-11-18
Frequently asked questions
- What is Bp4 LLC's NPI number?
- Bp4 LLC's National Provider Identifier (NPI) is 1700253861, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bp4 LLC?
- Bp4 LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Bp4 LLC located?
- Bp4 LLC's practice location on file with NPPES is 5151 Maccorkle Ave Sw, South Charleston, WV 25309-1109.
- What is Bp4 LLC's phone number?
- The practice phone number listed in the NPPES registry for Bp4 LLC is (304) 766-0900.
- Does Bp4 LLC accept Medicare?
- Bp4 LLC 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 Bp4 LLC?
- The authorized official listed on Bp4 LLC's NPPES record is Siddarthan Ilangovan, Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bp4 LLC's NPI active?
- Yes — Bp4 LLC's NPI (1700253861) is active in the NPPES registry as of the last update on 2021-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.