Organization Profile
Mountain Lake Pharmacy INC
Unclaimed ProfileAbout Mountain Lake Pharmacy INC
Mountain Lake Pharmacy INC is a healthcare organization in Summersville, WV, registered under community / retail pharmacy. This organization is also listed as specializing in pharmacy. According to Medicare claims data, the services billed most often include administration of influenza virus vaccine and influenza vaccine, inactivated. NPI 1336228006 identifies this record in the national registry.
Factual summary compiled by Guide.md from public records; not written by this provider.
Practice Size
Counted from individual NPI records registered at the same street address; a shared building can inflate this.
Providers in This Building & Nearby
From registry street addresses: providers filed at this building, which can include unrelated practices sharing it.
- Howard S. Boone, R.PH. Pharmacist
- Kris E. Moose, RPH Pharmacist
Specialty
Credentials & Licensing
Contact Information
- (304) 872-9000
- Email not available
Practice Locations
1129 BROAD ST STE 100
Summersville, WV 26651
Procedures Most Often Billed to Medicare
22 services · 22 patients · 2 distinct codes
| Procedure | Type | Code | Services |
|---|---|---|---|
| Influenza vaccine, inactivated | Treatment | 90653 |
11 |
| Administration of influenza virus vaccine | Billing code | G0008 |
11 |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Also at this address 2
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
Other community / retail pharmacy specialists in Summersville 4
Same specialty, same city.
Also performs Influenza vaccine, inactivated 8
Providers in WV who bill this service to Medicare most often.
Common questions
What does Mountain Lake Pharmacy INC specialize in?
Mountain Lake Pharmacy INC is a community / retail pharmacy in Summersville, WV. That is the designation recorded for this NPI in the federal registry.
NPI registry
Where is Mountain Lake Pharmacy INC located?
Mountain Lake Pharmacy INC is listed at 1129 Broad St Ste 100, Summersville, WV 26651. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
What is Mountain Lake Pharmacy INC's phone number?
The number on file is (304) 872-9000. Contact the office directly to confirm availability and scheduling.
NPI registry
What is Mountain Lake Pharmacy INC's NPI number?
Mountain Lake Pharmacy INC's National Provider Identifier is 1336228006. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
What does Mountain Lake Pharmacy INC do most often?
According to Medicare billing data, Mountain Lake Pharmacy INC provides treatments such as influenza vaccine, inactivated. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Has Mountain Lake Pharmacy INC confirmed this information?
Not yet. This profile is built from public federal data and has not been confirmed by Mountain Lake Pharmacy INC. If this is you, claiming it is free.
Guide.md
Is this your practice?
Manage this listing? Log in or create an account, then click “This is my practice and I manage it” here. A verified physician whose registry address matches this location is approved instantly; everyone else is reviewed by a person.
Guide.md listings do not constitute medical advice or an endorsement.