Bridgeport Prescription Shop Llc
Community/Retail Pharmacy
1212 Johnson Ave, Bridgeport
West Virginia, 26330-1354
304-842-3223 Bridgeport Prescription Shop Llc is a Community/Retail Pharmacy in Bridgeport, West Virginia. It is located at 1212 Johnson Ave, Bridgeport and it's customer support contact number is 304-842-3223. The authorized person of Bridgeport Prescription Shop Llc is Dr. Thomas J Ravis, PHARM D who is Pic/owner of the pharmacy and his contact number is 304-695-0572. Bridgeport Prescription Shop Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Bridgeport Prescription Shop 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:
Bridgeport Prescription Shop 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: | Bridgeport Prescription Shop Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 1212 Johnson Ave, Bridgeport,
West Virginia, 26330-1354 |
| Phone: | 304-842-3223 |
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: | Dr. Thomas J Ravis |
| Credentials: | PHARM D |
| Position: | Pic/owner |
| Contact Number: | 304-695-0572 |
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: | 1851717557 |
| NPI Enumeration Date: | 05 Mar, 2014 |
| NPI Last Update On: | 05 Mar, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bridgeport Prescription Shop Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | | West Virginia | Primary | |
Medicare Enrollment:
Bridgeport Prescription Shop 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 |
| 9133342686 | O20140602001081 | Bridgeport Prescription Shop Llc | DME SUPPLIER - PHARMACY |
| 9133342686 | O20140605001367 | Bridgeport Prescription Shop Llc | PART B SUPPLIER - OTHER |
Products Available:
Bridgeport Prescription Shop Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Diabetic Shoes & Inserts: Custom Fabricated |
| • Diabetic Shoes & Inserts: Prefabricated | • Heat & Cold Applications |
| • Nebulizer Equipment & Supplies | • Orthoses: Off-the-shelf |
| • Ostomy Supplies | • Surgical Dressings |
| • Urological Supplies | • Walkers |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1212 Johnson Ave,
Bridgeport, West Virginia |
| Zip: | 26330-1354 |
| Phone Number: | 304-842-3223 |
Patients can reach Bridgeport Prescription Shop Llc at
1212 Johnson Ave, Bridgeport, West Virginia or can
call on customer care at 304-842-3223.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.