NPIMap

Organization Active NPI

Charlies Pharmacy Inc

  • Community/Retail Pharmacy
  • Pineville, WV
National Provider Identifier
1003909227
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
SP0551195 Issued in WV
Legal business name
CHARLIES PHARMACY INC
Practice address
233 Main St
Pineville, WV 24874
Phone
(304) 732-6969
Fax
(304) 732-6866
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eva Burns, RPH
Title
Pres
Phone
(304) 732-6969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X SP0551195 WV Primary

Addresses

Primary practice location

233 Main St
Pineville, WV 24874

Mailing address

PO Box 397
Pineville, WV 24874-0397

Other identifiers 3

IdentifierTypeStateIssuer
0140930000MedicaidWV
5010258OtherOTHER ID NUMBER-COMMERCIAL NUMBER
5010258OtherOTHER ID NUMBER

Other names 1

  • CHARLIES PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Charlies Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1003909227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "PINEVILLE",
            "state": "WV",
            "postal_code": "248740397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 MAIN ST",
            "city": "PINEVILLE",
            "state": "WV",
            "postal_code": "24874",
            "telephone_number": "304-732-6969",
            "fax_number": "304-732-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLIES PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "304-732-6969",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0551195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0140930000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5010258",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "5010258",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHARLIES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pineville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.