Goodykoontz Drug Stores Inc
Community/Retail Pharmacy
2924 East Cumberland Road, Bluefield
West Virginia, 24701
304-325-7121 304-327-9701
Goodykoontz Drug Stores Inc is a Community/Retail Pharmacy in Bluefield, West Virginia. It is located at 2924 East Cumberland Road, Bluefield and it's customer support contact number is 304-325-7121. The authorized person of Goodykoontz Drug Stores Inc is Jerry Bovenizer, RPH who is President of the pharmacy and his contact number is 304-324-7601. Active license number of Goodykoontz Drug Stores Inc is SP0550098 for Community/Retail Pharmacy in West Virginia. Goodykoontz Drug Stores Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Goodykoontz Drug Stores Inc 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:
Goodykoontz Drug Stores Inc 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: | Goodykoontz Drug Stores Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 2924 East Cumberland Road, Bluefield,
West Virginia, 24701 |
| Phone: | 304-325-7121 |
| Fax: | 304-327-9701 |
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: | Jerry Bovenizer |
| Credentials: | RPH |
| Position: | President |
| Contact Number: | 304-324-7601 |
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: | 1417054255 |
| NPI Enumeration Date: | 20 Sep, 2006 |
| NPI Last Update On: | 19 Sep, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Goodykoontz Drug Stores Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | SP0550098 | West Virginia | Primary | |
| Pharmacy | | | Secondary | |
| Long Term Care 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 |
| 0085046995 | Medicaid | Virginia | |
| 0141899000 | Medicaid | West Virginia | |
| 2109351 | Other | | Pk |
Medicare Enrollment:
Goodykoontz Drug Stores Inc 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 |
| 6507074317 | O20100930011275 | Goodykoontz Drug Stores Inc | DME SUPPLIER - PHARMACY |
| 6507074317 | O20131024001472 | Goodykoontz Drug Stores Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Goodykoontz Drug Stores Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Nebulizer Equipment & Supplies |
| • Orthoses: Off-the-shelf | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2924 East Cumberland Road,
Bluefield, West Virginia |
| Zip: | 24701 |
| Phone Number: | 304-325-7121 |
| Fax Number: | 304-327-9701 |
Patients can reach Goodykoontz Drug Stores Inc at
2924 East Cumberland Road, Bluefield, West Virginia or can
call on customer care at 304-325-7121.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.