Bp4 Llc
Community/Retail Pharmacy
5151 Maccorkle Ave Sw, South Charleston
West Virginia, 25309-1109
304-766-0900 304-766-0901
Bp4 Llc is a Community/Retail Pharmacy in South Charleston, West Virginia. It is located at 5151 Maccorkle Ave Sw, South Charleston and it's customer support contact number is 304-766-0900. The authorized person of Bp4 Llc is Siddarthan Ilangovan who is Pharmacist of the pharmacy and his contact number is 304-222-3064. Active license number of Bp4 Llc is MP0552418 for Community/Retail Pharmacy in West Virginia. Bp4 Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Bp4 Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Bp4 Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Bp4 Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 5151 Maccorkle Ave Sw, South Charleston,
West Virginia, 25309-1109 |
| Phone: | 304-766-0900 |
| Fax: | 304-766-0901 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Siddarthan Ilangovan |
| Position: | Pharmacist |
| Contact Number: | 304-222-3064 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1700253861 |
| NPI Enumeration Date: | 25 Aug, 2015 |
| NPI Last Update On: | 18 Nov, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bp4 Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | MP0552418 | West Virginia | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2153688 | Other | | Pk |
Medicare Enrollment:
Bp4 Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 8224310651 | O20170119002877 | Bp4 Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 104 S Eisenhower Dr,
Beckley, West Virginia |
| Zip: | 25801-4930 |
| Phone Number: | 304-222-3064 |
| Fax Number: | 304-253-3982 |
Patients can reach Bp4 Llc at
5151 Maccorkle Ave Sw, South Charleston, West Virginia or can
call on customer care at 304-766-0900.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.