Organization Active NPI

Hurley Drug Co Inc

  • Oxygen Equipment & Supplies (DME)
  • Williamson, WV
National Provider Identifier
1023102746
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
HURLEY DRUG CO INC
Practice address
210 Logan St
Williamson, WV 25661-3608
Phone
(304) 235-3535
Fax
(304) 235-1258
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Authorized official

Name
Mr. Tim McNamee
Title
Manager/Owner
Phone
(304) 235-3535

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

210 Logan St
Williamson, WV 25661-3608

Mailing address

PO Box 220
Williamson, WV 25661-0220
Phone (304) 235-3565

Other identifiers 1

IdentifierTypeStateIssuer
0141986000MedicaidWV

Other names 1

  • Hurley Drug Home Health Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930076047 WV DME Supplier - PharmacyDME Supplier - Orthotic PersonnelDME Supplier - Prosthetic PersonnelDME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Home Health AgencyDME Supplier - Oxygen & Equipment 7012053465 Practice locations: Williamson, WV

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Hurley Drug Co Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1023102746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "WILLIAMSON",
            "state": "WV",
            "postal_code": "256610220",
            "telephone_number": "304-235-3565",
            "fax_number": "304-235-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LOGAN ST",
            "city": "WILLIAMSON",
            "state": "WV",
            "postal_code": "256613608",
            "telephone_number": "304-235-3535",
            "fax_number": "304-235-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HURLEY DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "MCNAMEE",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "304-235-3535",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0141986000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hurley Drug Home Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Williamson, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.