Active NPI
Hurley Drug Co Inc
- Oxygen Equipment & Supplies (DME)
- Williamson, WV
National Provider Identifier
1023102746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0141986000 | Medicaid | WV |
Other names 1
- Hurley Drug Home Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930076047 | WV | DME Supplier - Pharmacy | 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 Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Williamson, WV
- NPI 1417896622
-
- Community/Retail Pharmacy
- Williamson, WV
- NPI 1750441960
-
- Pharmacist
- Williamson, WV
- NPI 1992882146
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Williamson, WV
- NPI 1962645960
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.