Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1427523976 Individual Practitioner Male Practitioner

Dr. Kenneth Ray Fly , PharmD

Pharmacist • Scott Depot, WV

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Fly, PharmD is a registered healthcare professional specializing in Pharmacist in Scott Depot, WV. Practice services are available at 4539 TEAYS VALLEY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4539 Teays Valley Rd

Scott Depot, WV 255607806

Telephone 3042011630
Associated Practice Facility / Clinic
🏢 Fruth Pharmacy Inc Facility NPI 1427063361

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Scott Depot, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 32.0 Yrs
Regional Practice Density
12 Specialists

Practicing in Scott Depot, WV (2327 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WV RP0010499

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Pharmacist License
RP0010499 (WV)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Celia Hodroge

Pharmacist

NPI 1164873303
NPI 1184975914

Registered Pharmacist

NPI 1205571197

Doctor of Pharmacy (Pharm.D.)

NPI 1548611700

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 11, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location October 11, 2018

Registered at 4539 TEAYS VALLEY RD, SCOTT DEPOT, WV 255607806 (Tel: 3042011630)

📍
Updated Business Mailing Address October 11, 2018

Registered at 2371 VIRGINIA AVE, HURRICANE, WV 255261067 (Tel: 6814275708)

👤
Provider Name / Credentials Updated October 11, 2018

Recorded as KENNETH FLY, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2018

Pharmacist (License #RP0010499 in WV)

🟢
Initial NPI Registration & Enumeration October 11, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427523976
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2018
Last Update: October 11, 2018
Sole Proprietor: No

Mailing Address

2371 Virginia Ave

Hurricane, WV 255261067

Phone: 6814275708

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.