Bridgeport Prescription Shop LLC
NPI 1851717557 · Community/Retail Pharmacy · Bridgeport, WV
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bridgeport Prescription Shop LLC is a Community/Retail Pharmacy organization in Bridgeport, WV (NPI 1851717557).
Provider details
- NPI number
- 1851717557
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Thomas Ravis, Pic/Owner(304) 695-0572
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
- Community Pharmacy of Bridgeport
Registry dates
- Enumerated
- 2014-03-05
- Last updated
- 2014-03-05
Frequently asked questions
- What is Bridgeport Prescription Shop LLC's NPI number?
- Bridgeport Prescription Shop LLC's National Provider Identifier (NPI) is 1851717557, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bridgeport Prescription Shop LLC?
- Bridgeport Prescription Shop LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Bridgeport Prescription Shop LLC located?
- Bridgeport Prescription Shop LLC's practice location on file with NPPES is 1212 Johnson Ave, Bridgeport, WV 26330-1354.
- What is Bridgeport Prescription Shop LLC's phone number?
- The practice phone number listed in the NPPES registry for Bridgeport Prescription Shop LLC is (304) 842-3223.
- Does Bridgeport Prescription Shop LLC accept Medicare?
- Bridgeport Prescription Shop 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 Bridgeport Prescription Shop LLC?
- The authorized official listed on Bridgeport Prescription Shop LLC's NPPES record is Thomas Ravis, Pic/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bridgeport Prescription Shop LLC's NPI active?
- Yes — Bridgeport Prescription Shop LLC's NPI (1851717557) is active in the NPPES registry as of the last update on 2014-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.